LIFESPAN MEDICINE NPI 1417271750

NPI Information

NPI: 1417271750
Provider Name: LIFESPAN MEDICINE
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2811 WILSHIRE BLVD
SUITE 610
SANTA MONICA, CA
ZIP 90403
Phone: (310) 453-2335
Get Directions

LIFESPAN MEDICINE is an adult medicine family medicine in Santa Monica, CA. The provider is definition to come. LIFESPAN MEDICINE NPI is 1417271750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2811 WILSHIRE BLVD
SUITE 610
SANTA MONICA, CA
ZIP 90403-803
Phone: (310) 453-2335

The provider's authorized official is Gina Renna .
The authorized official title is Ceo and has the following contact phone number (310) 453-2335.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	20A6324	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »