Rephana Medical Group
NPI #1659414258 in Santa Monica, California
Provider Information
- NPI Number
- 1659414258
- Entity Type
- Organization
- Organization Name
- Rephana Medical Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1304 15TH ST STE 402
- City
- Santa Monica
- State
- California
- ZIP Code
- 90404-1813
- Phone
- (310) 451-0111
Authorized Official
- Name
- NEAL SHANBLATT, MD
- Title
- PRESIDENT
- Phone
- (310) 451-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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