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PAUL B. HABERMAN MD A MEDICAL CORPORATION NPI 1699913657


NPI Information

NPI: 1699913657
Provider Name: PAUL B. HABERMAN MD A MEDICAL CORPORATION
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1301 20TH ST
SUITE 360
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-3465
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PAUL B. HABERMAN MD A MEDICAL CORPORATION is a clinic center in Santa Monica, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PAUL B. HABERMAN MD A MEDICAL CORPORATION NPI is 1699913657. The provider is registered as an organization entity type.

The provider's business location address is:

1301 20TH ST
SUITE 360
SANTA MONICA, CA
ZIP 90404-050
Phone: (310) 828-3465
Fax: (310) 315-0339

The provider's authorized official is Karen M Imamura .
The authorized official title is Administrator and has the following contact phone number (310) 828-3465.

The enumeration date for this NPI number is 1/29/2009 and was last updated on 1/29/2009.


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
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A39600MEDICARE UPINCALIFORNIA

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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