| Modern Human Md Pc | |
|
1301 20th St Ste 550 Santa Monica CA 90404-2054 | |
| (310) 315-0231 | |
| (310) 315-0235 |
| Full Name | Modern Human Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 20th St Ste 550, Santa Monica, California |
| Authorized Official Name and Position | Stephanie Tran (PHYSICIAN) |
| Authorized Official Contact | 5053586070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Human Md Pc 414 N Maple Dr Apt 201 Beverly Hills CA 90210-3832 Ph: (505) 358-6070 | Modern Human Md Pc 1301 20th St Ste 550 Santa Monica CA 90404-2054 Ph: (310) 315-0231 |
| NPI Number | 1992583413 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7315397312 |
|---|---|
| Medicare Enrollment ID | O20240102003917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992583413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William A Pullen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104977248 PECOS PAC ID: 1759574502 Enrollment ID: I20101025000826 |
| Provider Name | Stephanie A Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770999450 PECOS PAC ID: 5193081198 Enrollment ID: I20171107003550 |
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