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CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA NPI 1619145505


NPI Information

NPI: 1619145505
Provider Name: CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

CLIA Number: 05D2047468

Address:
530 WILSHIRE BLVD
SUITE 202A
SANTA MONICA, CA
ZIP 90401
Phone: (310) 393-7147
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CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA is a maternal and fetal medicine obstetrics gynecology in Santa Monica, CA. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA NPI is 1619145505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

530 WILSHIRE BLVD
SUITE 202A
SANTA MONICA, CA
ZIP 90401-421
Phone: (310) 393-7147
Fax: (310) 451-6286

The provider's authorized official is Kevin Ross Justus .
The authorized official title is President and has the following contact phone number (310) 393-7147.

The CLIA number assigned to this NPI record is 05D2047468 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 10/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineA79053CALIFORNIAYes

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: 4/28/2024

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