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Steven M Kastenbaum Od Phd Professional Optometric Corporation
Medical Specialty Clinic/Center in Santa Monica, California
NPI 1982064481

Steven M Kastenbaum Od Phd Professional Optometric Corporation is a Medical Specialty Clinic/Center based in Santa Monica, CA and is specialized in Medical Specialty. Steven M Kastenbaum Od Phd Professional Optometric Corporation practices in Santa Monica, CA. The NPI Number for Steven M Kastenbaum Od Phd Professional Optometric Corporation is 1982064481 and holds a License No. 5708T (California).

The current practice location address for Steven M Kastenbaum Od Phd Professional Optometric Corporation is 2901 Wilshire Blvd, Santa Monica, CA and can be reached out via phone at 310-315-1936.

Location: 2901 Wilshire Blvd, Santa Monica, CA, 90403-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982064481
Provider Name
Steven M Kastenbaum Od Phd Professional Optometric Corporation
Credential
Provider Entity Type
Organization
Address
2901 Wilshire Blvd, Santa Monica, CA, 90403-4901
Phone Number
310-315-1936
Fax Number
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB255730 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2901 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-4901
Phone Number
310-315-1936
Fax Number
person
Provider Business Mailing Address Details
Address
2901 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-4901
Phone Number
310-315-1936
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
5708T (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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