Look up the most recent NPI and PECOS records

Premier Health Partners Of Santa Monica

(<Unavail>)

Internal Medicine

Allopathic & Osteopathic Physicians

1260 15th St Ste 1415, Santa Monica, CA 90404-1135

PECOS Enrollment

Based on the most recent information from CMS, provider Premier Health Partners Of Santa Monica does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1720450117
Provider Type
Organization
Full Name
Premier Health Partners Of Santa Monica
Other Name
<Unavail>

Subpart
No
Enumeration Date
10/23/2015
Last Updated
10/23/2015

Contact Information

Practice Location

1260 15th St Ste 1415, Santa Monica, CA 90404-1135

(310) 395-7471

Unlisted Fax

Mailing Location

1260 15th St Ste 1415, Santa Monica, CA 90404-1135

(310) 395-7471

Unlisted Fax

Authorized Official

Galier, Peter C (Medical Director)

(310) 559-8276

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G074741 California

Premier Health Partners Of Santa Monica

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Kaplan, Alexander Brandan

Lee, Ji Young

Kim, Gloria Sung

Garvey, Sarah Lauren

Karimpoor, Leila Kay

Olvera, Vanessa Denyse

Glazier, Eve Magdalen

Drakaki, Alexandra

Tabet, Anthony Ryan

Patel, Shreeti