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LIFESPAN MEDICINE
NPI 1043536592
General Practice in Santa Monica, CA

Active since April 08, 2010
2811 WILSHIRE BLVD, SUITE 610, SANTA MONICA, CA 90403(310) 453-2335(310) 453-2332 Get Directions Write a Review

NPPES record last updated: April 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifespan Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPAN MEDICINE (NPI 1043536592) is a healthcare organization registered as a general practice in Santa Monica, California and active in the NPI registry since April 2010. The organization lists Gina Renne, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043536592
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFESPAN MEDICINE
Location Address2811 WILSHIRE BLVD, SUITE 610Santa Monica, CA 90403
Mailing Address2811 Wilshire Blvd, #610Santa Monica, CA 90403 · (310) 453-2335 · Fax (310) 453-2332
Phone(310) 453-2335
Fax(310) 453-2332
Organization SubpartNo
Authorized OfficialGina RenneCeo · (310) 453-2335
Enumeration DateApril 8, 2010
✔ NPI 1043536592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2811 WILSHIRE BLVD, Santa Monica, CA 90403
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELDON JORDAN, M.D., INC.
Pain Medicine (Interventional Pain Medicine)
2811 WILSHIRE BLVD, # 790
SANTA MONICA, CA 90403
Los Angeles County (310) 829-5968
DR. OSCAR E STREETER JR. M.D.
Radiology (Radiation Oncology)
2811 WILSHIRE BLVD, SUITE 860
SANTA MONICA, CA 90403
Los Angeles County (888) 580-5900
MARC D. CHALET, MD, INC.
Dermatology (Dermatopathology)
2811 WILSHIRE BLVD, SUITE 615
SANTA MONICA, CA 90403
Los Angeles County (310) 202-6204
CHROMAN TMS, INC
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
2811 WILSHIRE BLVD, SUITE 680
SANTA MONICA, CA 90403
Los Angeles County (310) 829-9788
PETER ALAN BARDWICK MD
Internal Medicine (Rheumatology)
2811 WILSHIRE BLVD, STE 550
SANTA MONICA, CA 90403
Los Angeles County (310) 828-4759
DR. STEPHANIE J. GROSIK DPT
Physical Therapist
2811 WILSHIRE BLVD, SUITE 600
SANTA MONICA, CA 90403
Los Angeles County (310) 828-7239
TIMOTHY DAVIS, MD
Physical Medicine & Rehabilitation (Pain Medicine)
2811 WILSHIRE BLVD, SUITE 850
SANTA MONICA, CA 90403
Los Angeles County (310) 828-7757
DR. LANAE MULLANE N.D.
Naturopath
2811 WILSHIRE BLVD, 610
SANTA MONICA, CA 90403
Los Angeles County (310) 453-2335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan Medicine's NPI number?

The NPI number for Lifespan Medicine is 1043536592. It was assigned to this organization in the NPPES registry on April 8, 2010.

Where is Lifespan Medicine located?

Lifespan Medicine is located at 2811 Wilshire Blvd Suite 610, Santa Monica, CA 90403. The listed phone number is (310) 453-2335.

What is Lifespan Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Lifespan Medicine was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.