| California Medical Clinic For Headache | |
|
2001 Santa Monica Blvd Suite #880w Santa Monica CA 90404-2102 | |
| (310) 315-1456 | |
| (310) 315-1486 |
| Full Name | California Medical Clinic For Headache |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2001 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | David Bruce Kudrow (DIRECTOR) |
| Authorized Official Contact | 3103151456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Medical Clinic For Headache 2001 Santa Monica Blvd Suite #880w Santa Monica CA 90404-2102 Ph: (310) 315-1456 | California Medical Clinic For Headache 2001 Santa Monica Blvd Suite #880w Santa Monica CA 90404-2102 Ph: (310) 315-1456 |
| NPI Number | 1528220803 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528220803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G062166 (California) | Primary |
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