Santa Monica Orthopaedic and Sports Medicine Group
NPI #1457423725 in Santa Monica, California
Provider Information
- NPI Number
- 1457423725
- Entity Type
- Organization
- Organization Name
- Santa Monica Orthopaedic and Sports Medicine Group
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Apr 7, 2010
Practice Location
- Address
- 2020 SANTA MONICA BLVD
- Address 2
- SUITE 400
- City
- Santa Monica
- State
- California
- ZIP Code
- 90404-2023
- Phone
- (310) 829-2663
Authorized Official
- Name
- DR. M RAMIN MODABBER, M.D.
- Title
- PRESIDENT
- Phone
- (310) 829-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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