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1417271750
LIFESPAN MEDICINE
SANTA MONICA, CA
NPI
1417271750
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Entity Type
Organization
Authorized Contact
GINA RENNA
CEO
310-453-2335
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine Adult Medicine
(Licence: CA 20A6324)
Enumeration Date
2010-03-16
Last Update Date
2010-03-16
Business Address
LIFESPAN MEDICINE
2811 WILSHIRE BLVD SUITE 610
SANTA MONICA, CA 90403-4803
Phone number: 310-453-2335
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Mailing Address
LIFESPAN MEDICINE
2811 WILSHIRE BLVD SUITE 610
SANTA MONICA, CA 90403-4803
Phone number: 310-453-2335
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