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Southern California Head & Neck Medical Group
Specialist in Santa Monica, California
NPI 1235149170

Southern California Head & Neck Medical Group is a Specialist based in Santa Monica, CA. Southern California Head & Neck Medical Group practices in Santa Monica, CA. The NPI Number for Southern California Head & Neck Medical Group is 1235149170 and holds a License No. G26964 (California).

The current practice location address for Southern California Head & Neck Medical Group is 1301 20Th St Ste 300, Santa Monica, CA and can be reached out via phone at 310-829-7792 and via fax at 310-829-4136.

Location: 1301 20Th St Ste 300, Santa Monica, CA, 90404-2087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235149170
Provider Name
Southern California Head & Neck Medical Group
Credential
Provider Entity Type
Organization
Address
1301 20Th St Ste 300, Santa Monica, CA, 90404-2087
Phone Number
310-829-7792
Fax Number
310-829-4136
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1301 20Th St Ste 300
City
Santa Monica
State
California
Zip
90404-2087
Phone Number
310-829-7792
Fax Number
310-829-4136
person
Provider Business Mailing Address Details
Address
1301 20Th St Ste 300
City
Santa Monica
State
California
Zip
90404-2087
Phone Number
310-829-7792
Fax Number
310-829-4136
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G26964 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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