Lifespan Medicine
NPI #1417271750 in Santa Monica, California
Provider Information
- NPI Number
- 1417271750
- Entity Type
- Organization
- Organization Name
- Lifespan Medicine
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Mar 16, 2010
- Last Updated
- Mar 16, 2010
Practice Location
- Address
- 2811 WILSHIRE BLVD
- Address 2
- SUITE 610
- City
- Santa Monica
- State
- California
- ZIP Code
- 90403-4803
- Phone
- (310) 453-2335
Authorized Official
- Name
- GINA RENNA
- Title
- CEO
- Phone
- (310) 453-2335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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