| NPI | 1710287297 |
|---|---|
| Doing Business As | UCLA CPN SANTA MONICA BAY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Director Of Accounting 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208600000X Surgery | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2021-04-30 |