institution
Lifespan Medicine
General Practice Physician in Santa Monica, California
NPI 1043536592

Lifespan Medicine is a General Practice Physician based in Santa Monica, CA. Lifespan Medicine practices in Santa Monica, CA. The NPI Number for Lifespan Medicine is 1043536592 and holds a License No. (California).

The current practice location address for Lifespan Medicine is 2811 Wilshire Blvd, Santa Monica, CA and can be reached out via phone at 310-453-2335 and via fax at 310-453-2332.

Location: 2811 Wilshire Blvd, Santa Monica, CA, 90403
institution
Provider Profile Details
NPI Number
1043536592
Provider Name
Lifespan Medicine
Credential
Provider Entity Type
Organization
Address
2811 Wilshire Blvd, Santa Monica, CA, 90403
Phone Number
310-453-2335
Fax Number
310-453-2332
Provider Enumeration Date
04/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2811 Wilshire Blvd
City
State
Zip
90403
Phone Number
310-453-2335
Fax Number
310-453-2332
person
Provider Business Mailing Address Details
Address
2811 Wilshire Blvd
City
State
Zip
90403
Phone Number
310-453-2335
Fax Number
310-453-2332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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