Lisa M. Masterson MD A Professional Corporation
Obstetrics & Gynecology, Gynecology in Santa Monica, CA. Organization (NPI-2).
NPI number1619293255
StatusActive
Last updated in NPPESOct 28, 2016
Details
- NPI
- 1619293255
- Entity type
- Organization (NPI-2)
- Legal business name
- Lisa M. Masterson MD A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Apr 7, 2010
- Last updated
- Oct 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | G80224 | CA | Yes |
Practice location
1333 Ocean AveSanta Monica, CA 90401-1023
Phone 310-451-9900
Mailing address
1333 Ocean AveSanta Monica, CA 90401-1023
Phone 310-451-9900 · Fax 310-294-0739
Authorized official
Lisa M Masterson
Owner
3104519900
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