05D2057481 CLIA NUMBER - Stanton G Axline MD, A Medical Corporation

Laboratory Demographics

CLIA Number: 05D2057481

Facility Name: Stanton G Axline MD, A Medical Corporation

Facility Address:
2001 Santa Monica Blvd Ste 665w
Santa Monica, CA
ZIP 90404
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Facility Phone Number: (310) 829-0919

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1437215803

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name Field Value
CLIA Number 05D2057481
LAB Type PHYSICIAN OFFICE
Facility Name Stanton G Axline MD, A Medical Corporation
Street 2001 Santa Monica Blvd Ste 665w
City Santa Monica
State CA
ZIP 90404
Phone (310) 829-0919

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This page was last updated on: 12/19/2019