California Iom Incorporated
Neurological Surgery in Santa Monica, CA. Organization (NPI-2).
NPI number1205402617
StatusActive
Last updated in NPPESAug 8, 2025
Details
- NPI
- 1205402617
- Entity type
- Organization (NPI-2)
- Legal business name
- California Iom Incorporated
- Organization subpart
- No
- Enumeration date
- May 27, 2021
- Certification date
- Aug 8, 2025
- Last updated
- Aug 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Practice location
2811 Wilshire Blvd Ste 930Santa Monica, CA 90403-4803
Phone 310-710-1919 · Fax 424-238-8362
Mailing address
2811 Wilshire Blvd Ste 930Santa Monica, CA 90403-4803
Phone 310-710-1919 · Fax 424-238-8362
Authorized official
Daniel Nagasawa
Owner
3107101919
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