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LIFESPAN MEDICINE
NPI 1417271750
Family Medicine - Adult Medicine in Santa Monica, CA

Active since March 16, 2010
2811 WILSHIRE BLVD, SUITE 610, SANTA MONICA, CA 90403(310) 453-2335 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lifespan Medicine NPPES

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

LIFESPAN MEDICINE (NPI 1417271750) is a healthcare organization registered as an adult medicine in Santa Monica, California and active in the NPI registry since March 2010. The organization lists Gina Renna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417271750
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameLIFESPAN MEDICINE
Location Address2811 WILSHIRE BLVD, SUITE 610Santa Monica, CA 90403-4803
Mailing Address2811 Wilshire Blvd, Suite 610Santa Monica, CA 90403-4803 · (310) 453-2335
Phone(310) 453-2335
Organization SubpartNo
Authorized OfficialGina RennaCeo · (310) 453-2335
Enumeration DateMarch 16, 2010
✔ NPI 1417271750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · 20A6324
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
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
LIFESPAN MEDICINE
General Practice
2811 WILSHIRE BLVD, SUITE 610
SANTA MONICA, CA 90403
Los Angeles County (310) 453-2335
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

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 1417271750. It was assigned to this organization in the NPPES registry on March 16, 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 Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Lifespan Medicine was last updated on March 16, 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.