360 MIND
Organization (NPI-2)
Active
Neurological Surgery
Provider Information
- NPI Number
1366753683- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1328 22ND ST, SANTA MONICA, CA, 904042032
- Phone
- (310) 582-7450
- Fax
- (310) 582-7495
Specialties & Taxonomies
Neurological Surgery
License: CA #C53853
Otolaryngology
License: CA #G88653
Neurological Surgery
Primary License: CA #G77318