Rephana Medical Group

LBN: Rephana Medical Group
Rephana Medical Group is an health care organization with primary practice located at 1304 15Th St Ste 402 , Santa Monica CA 90404-1813. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Rephana Medical Group can be contacted via phone (310) 451-0111, or through Shanblatt, Neal via phone (310) 451-0111.

Contact Information

Primary practice address
1304 15Th St Ste 402 Santa Monica CA 90404-1813
Phone: (310) 451-0111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shanblatt, Neal Doctor of Medicine (MD)
Phone: (310) 451-0111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A64647 California

Profile Details

NPI number 1659414258
LBN Legal business name Rephana Medical Group
DBA Doing business as
Authorized official Shanblatt, Neal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659414258 NPPES
California MEDICAID 00A646470

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