Lifespan Medicine
Point of Service in Santa Monica, CA. Organization (NPI-2).
NPI number1669924148
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1669924148
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifespan Medicine
- Organization subpart
- No
- Enumeration date
- Oct 31, 2016
- Last updated
- Oct 31, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
2811 Wilshire Blvd Ste 610Santa Monica, CA 90403-4814
Phone 310-453-2335
Mailing address
2811 Wilshire Blvd Ste 610Santa Monica, CA 90403-4814
Phone 310-453-2335
Authorized official
Rachael Buechler
Coo
3104532335
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