Surgical Associates Of Santa Monica A Medical Group

LBN: Surgical Associates Of Santa Monica A Medical Group
Surgical Associates Of Santa Monica A Medical Group is an health care organization with primary practice located at 2021 Santa Monica Blvd Ste 625 East, Santa Monica CA 90404-2208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgical Associates Of Santa Monica A Medical Group can be contacted via phone (310) 453-8838, or through Kusske, Amy M via phone (310) 453-8838.

Contact Information

Primary practice address
2021 Santa Monica Blvd Ste 625 East Santa Monica CA 90404-2208
Fax: (310) 453-8355
Website:
Authorized official contact:
Name: Kusske, Amy M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1437121282
LBN Legal business name Surgical Associates Of Santa Monica A Medical Group
DBA Doing business as
Authorized official Kusske, Amy M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 18th, 2011 - about 13 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 1437121282 NPPES
California MEDICAID GR0057190

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