Lifespan Medicine

NPI #1043536592 in Santa Monica, California

Provider Information

NPI Number
1043536592
Entity Type
Organization
Organization Name
Lifespan Medicine
Primary Specialty
General Practice
Enumeration Date
Apr 8, 2010
Last Updated
Apr 8, 2010

Practice Location

Address
2811 WILSHIRE BLVD
Address 2
SUITE 610
ZIP Code
90403
Phone
(310) 453-2335

Authorized Official

Name
MS. GINA RENNE, CEO
Title
CEO
Phone
(310) 453-2335

Specialties & Taxonomy Codes

Specialty
General Practice

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