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NPI 1306366513ActiveOrganization· Clinic/Center· Santa Monica, CA

Clinic/Center in Santa Monica, California, registered in NPPES in June 2017. The authorized official on file is Larry Weiss, ESQ., General Counsel.

Overview

NPI1306366513
StatusActive
Entity typeOrganization
NPI issuedJun 20, 2017
Last updated in NPPESJun 20, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——
Home Health251E00000X——
Public Health or Welfare251K00000X——
Clinic/Center, Community Health261QC1500X——
Clinic/Center, Public Health, State or Local261QP0905X——
Clinic/Center, Primary Care261QP2300X——
Clinic/Center, Research261QR1100X——
Clinic/Center, Student Health261QS1000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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