NPI | 1952564304 |
---|---|
Former Legal Business Name | SANTA MONICA PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | PHILIP M BRETSKY President 310-828-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A99447) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2011-12-19 |