| Ucla Cpn Santa Monica Bay Physician | |
|
4560 Admiralty Way 100 Marina Del Rey CA 90292-5423 | |
| (310) 301-8707 | |
| Not Available |
| Full Name | Ucla Cpn Santa Monica Bay Physician |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4560 Admiralty Way, Marina Del Rey, California |
| Authorized Official Name and Position | Bernard J Katz (MD) |
| Authorized Official Contact | 3104592363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Cpn Santa Monica Bay Physician 5767 W Century Blvd 400 Los Angeles CA 90045-5631 Ph: (310) 301-8707 | Ucla Cpn Santa Monica Bay Physician 4560 Admiralty Way 100 Marina Del Rey CA 90292-5423 Ph: (310) 301-8707 |
| NPI Number | 1811376452 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811376452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
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