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Lifespan Medicine
Adult Medicine Physician in Santa Monica, California
NPI 1417271750

Lifespan Medicine is an Adult Medicine Physician based in Santa Monica, CA and is specialized in Adult Medicine. Lifespan Medicine practices in Santa Monica, CA. The NPI Number for Lifespan Medicine is 1417271750 and holds a License No. 20A6324 (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.

Location: 2811 Wilshire Blvd, Santa Monica, CA, 90403-4803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417271750
Provider Name
Lifespan Medicine
Credential
Provider Entity Type
Organization
Address
2811 Wilshire Blvd, Santa Monica, CA, 90403-4803
Phone Number
310-453-2335
Fax Number
Provider Enumeration Date
03/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2811 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-4803
Phone Number
310-453-2335
Fax Number
person
Provider Business Mailing Address Details
Address
2811 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-4803
Phone Number
310-453-2335
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
20A6324 (California)
Definition
Definition to come.
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