Organization · NPI-2

360 Mind

Neurological Surgery · Santa Monica, CA

NPI number1366753683
StatusActive
Last updated in NPPESJul 1, 2010

Details

NPI
1366753683
Entity type
Organization (NPI-2)
Legal business name
360 Mind
Organization subpart
No
Enumeration date
Jul 1, 2010
Last updated
Jul 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological SurgeryG77318CAYes
207T00000X Neurological SurgeryC53853CA
207Y00000X OtolaryngologyG88653CA

Practice location

1328 22nd St
Santa Monica, CA 90404-2032

Phone 310-582-7450 · Fax 310-582-7495

Mailing address

Po Box 7111
Santa Monica, CA 90406-7111

Phone 310-582-7450 · Fax 310-582-7495

Authorized official

Katherine L Kerr
Vp Of Operations
3105827312

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