AESTHETIC SURGICAL CENTER OF SANTA MONICA (NPI# 1740335744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740335744 |
| Entity Type | Organization |
| Organization Name | AESTHETIC SURGICAL CENTER OF SANTA MONICA |
| Practice Address |
1301 20th St Ste 350 Santa Monica CA 90404-2052 |
| Practice Telephone | 3103151121 |
| Practice Fax Number | 3103159921 |
| Mailing Telephone | 3103151121 |
| Mailing Fax Number | 3103159921 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | DR. STEVEN ALAN TEITELBAUM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3103151121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
105461 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1740335744 | 05 |
| Street Address |
1301 20TH ST STE 350 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134565930 | Rita M Moorman Md A Professional Corporation | Anesthesiology | 1301 20th St Ste 350, Santa Monica, CA 90404-2119 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972642 | Santa Monica Advanced Surgical Institute LLC | Clinic/Center | 1908 Santa Monica Blvd Ste 5, Santa Monica, CA 90404-1927 | 2019-10-07 |
| 1083255616 | Younique Surgery Center | Clinic/Center | 1317 5th St Ste 301, Santa Monica, CA 90401-1459 | 2019-10-04 |
| 1558802249 | Source Surgery Center LLC | Clinic/Center | 2801 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2017-03-14 |
| 1912369703 | Select Surgical, A Medical Corporation | Clinic/Center | 1223 Wilshire Blvd Ste 594, Santa Monica, CA 90403-5406 | 2016-03-22 |
| 1144502170 | Omega Surgical Center, Inc. | Clinic/Center | 2730 Wilshire Blvd Ste 500, Santa Monica, CA 90403-4752 | 2011-09-15 |
| 1235376674 | Core Surgery Center Inc | Clinic/Center | 2336 Santa Monica Blvd Ste 304, Santa Monica, CA 90404-2067 | 2009-01-07 |
| 1053556670 | Santa Monica Outpatient Surgery Center | Clinic/Center | 2001 Santa Monica Blvd., Suite 1180w, Santa Monica, CA 90404 | 2008-12-10 |
| 1679694392 | Directed Interventional Surgery Ctr Inc A Professional Medical Corp | Clinic/Center | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2007-04-02 |
| 1578605044 | Broadway Surgical Institute, LLC | Clinic/Center | 1451 S Broadway Street, Santa Monica, CA 90404-1811 | 2007-02-13 |
| 1427692037 | Biohealth Surgical Institute | Clinic/Center | 1451 Broadway, Santa Monica, CA 90404-2711 | 2019-11-06 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on AESTHETIC SURGICAL CENTER OF SANTA MONICA.
| 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.