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1659414258
REPHANA MEDICAL GROUP
SANTA MONICA, CA
NPI
1659414258
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Entity Type
Organization
Authorized Contact
NEAL SHANBLATT
President
310-451-0111
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A64647)
Enumeration Date
2007-02-14
Last Update Date
2020-08-22
Business Address
REPHANA MEDICAL GROUP
1304 15TH ST STE 402
SANTA MONICA, CA 90404-1813
Phone number: 310-451-0111
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Mailing Address
REPHANA MEDICAL GROUP
5850 W 3RD ST # 132
LOS ANGELES, CA 90036-2860
Phone number: 310-451-0111
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