LIFESPAN MEDICINE (NPI# 1043536592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043536592 |
| Entity Type | Organization |
| Organization Name | LIFESPAN MEDICINE |
| Practice Address |
2811 Wilshire Blvd Suite 610 Santa Monica CA 90403 |
| Mailing Address |
2811 Wilshire Blvd #610 Santa Monica CA 90403 |
| Practice Telephone | 3104532335 |
| Practice Fax Number | 3104532332 |
| Mailing Telephone | 3104532335 |
| Mailing Fax Number | 3104532332 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |
| Authorized Official Name | MS. GINA RENNE (CEO) |
| Authorized Official Telephone | 3104532335 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669924148 | Lifespan Medicine | Point of Service | 2811 Wilshire Blvd Ste 610, Santa Monica, CA 90403-4814 | 2016-10-31 |
| 1417271750 | Lifespan Medicine | Family Medicine | 2811 Wilshire Blvd, Suite 610, Santa Monica, CA 90403-4803 | 2010-03-16 |
| Street Address |
2811 WILSHIRE BLVD SUITE 610 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868837 | Sant P Chawla | Specialist | 2811 Wilshire Blvd, Ste 414, Santa Monica, CA 90403-4803 | 2005-05-31 |
| 1154972933 | Chroman Tms, Inc | Psychiatry & Neurology | 2811 Wilshire Blvd, Suite 680, Santa Monica, CA 90403 | 2019-09-24 |
| 1285085878 | Lanae Mullane | Naturopath | 2811 Wilshire Blvd, 610, Santa Monica, CA 90403-4803 | 2016-06-25 |
| 1639525728 | Davina Simantob | Speech-Language Pathologist | 2811 Wilshire Blvd, #785, Santa Monica, CA 90403-4803 | 2016-05-09 |
| 1881058303 | Douglas Tyler M.d. A Professional | Internal Medicine | 2811 Wilshire Blvd, Suite 800, Santa Monica, CA 90403-4803 | 2016-04-11 |
| 1376903807 | Lekha M. Rao, Md, Inc | Psychiatry & Neurology | 2811 Wilshire Blvd, Suite 790, Santa Monica, CA 90403-4803 | 2016-02-25 |
| 1346638327 | Advanced Thermal Associates A Professional Corporation | Clinic/Center | 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403-4803 | 2014-12-29 |
| 1780072710 | Integrative Oncology | Clinic/Center | 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403-4803 | 2014-12-29 |
| 1518362144 | La Spine Intervention | Physical Medicine & Rehabilitation | 2811 Wilshire Blvd, Suite 850, Santa Monica, CA 90403-4803 | 2014-10-24 |
| 1881936532 | Roger Howard Schuster | Dentist | 2811 Wilshire Blvd, Suite 600, Santa Monica, CA 90403-4822 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265887426 | Akhila Rose | General Practice | 1541 Ocean Ave Ste 200, Santa Monica, CA 90401-2104 | 2016-04-25 |
| 1194004416 | Bernard N. Harris | General Practice | 502 21st St, Santa Monica, CA 90402-3034 | 2011-08-04 |
| 1609104900 | Tower Wound Care Center of Santa Monica, Inc. | General Practice | 1301 20th St Suite470, Santa Monica, CA 90404 | 2009-11-24 |
| 1770789364 | Kristin Lobo | General Practice | 1308 9th St Apt 8, Santa Monica, CA 90401-1861 | 2007-06-21 |
| 1750407227 | Sheldon Figoten | General Practice | 1746 Ocean Park Blvd, Santa Monica, CA 90405 | 2007-03-22 |
| 1043227242 | Melvin Alan Butler | General Practice | 1502 Montana Ave, Suite 203, Santa Monica, CA 90403 | 2006-08-01 |
| 1831130939 | John M Doyle | General Practice | 835 4th St Apt 208, Santa Monica, CA 90403-1213 | 2006-06-09 |
| 1497293682 | Mdsm Group Inc | General Practice | 2001 Santa Monica Blvd Ste 490w, Santa Monica, CA 90404-2127 | 2017-02-07 |
| 1447639869 | Sam Ali Kashani | General Practice | 1223 16th St Ste 3400, Santa Monica, CA 90404 | 2015-05-19 |
| 1417299231 | Stephanie Victoria Brenman | General Practice | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2013-03-19 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on LIFESPAN MEDICINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.