Ucla Cpn Santa Monica Bay Physician | |
4560 Admiralty Way 100 Marina Del Rey CA 90292-5423 | |
(310) 301-8707 | |
Not Available |
Full Name | Ucla Cpn Santa Monica Bay Physician |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 4560 Admiralty Way, Marina Del Rey, California |
Authorized Official Name and Position | Bernard J Katz (MD) |
Authorized Official Contact | 3104592363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ucla Cpn Santa Monica Bay Physician 5767 W Century Blvd 400 Los Angeles CA 90045-5631 Ph: (310) 301-8707 | Ucla Cpn Santa Monica Bay Physician 4560 Admiralty Way 100 Marina Del Rey CA 90292-5423 Ph: (310) 301-8707 |
NPI Number | 1811376452 |
---|---|
Provider Enumeration Date | 05/28/2015 |
Last Update Date | 05/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811376452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
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