Chaiken, Lisa Martine

Chaiken, Lisa Martine is an individual health care provider with primary practice located at 2121 Santa Monica Blvd , Santa Monica CA 90404-2303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Chaiken, Lisa Martine can be contacted via phone (310) 829-8913.

Contact Information

Primary practice address
2121 Santa Monica Blvd Santa Monica CA 90404-2303
Phone: (310) 829-8913
Fax: (310) 315-6168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G66880 California

Profile Details

NPI number 1528062023
LBN Legal business name Chaiken, Lisa Martine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 18th, 2020 - about 4 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 1528062023 NPPES
California MEDICAID 00G668800
California Other 920002903
California Other P00461553
California MEDICAID 1528062023

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