Axline, Stanton Gerald

Axline, Stanton Gerald is an individual health care provider with primary practice located at 2001 Santa Monica Blvd 665W, Santa Monica CA 90404-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Axline, Stanton Gerald can be contacted via phone (310) 829-0919.

Contact Information

Primary practice address
2001 Santa Monica Blvd 665W Santa Monica CA 90404-2102
Phone: (310) 829-0919
Fax: (310) 829-1260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X C23954 California

Profile Details

NPI number 1437215803
LBN Legal business name Axline, Stanton Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Feb 21st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437215803 NPPES
California Other C23954 MEDICAL LICENSE

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