Active NPI
Reiss Woznak Medical Clinic
- General Practice Physician
- Santa Monica, CA
National Provider Identifier
1669693693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C28067
- Legal business name
- REISS WOZNAK MEDICAL CLINIC
- Practice address
- 1908 Santa Monica Blvd
Suite 5
Santa Monica, CA 90404 - Phone
- (310) 828-5571
- Fax
- (310) 828-4247
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank F Woznak Jr., MD
- Title
- Physician President
- Phone
- (310) 828-5571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C28067 | CA | Primary |
Addresses
Primary practice location
1908 Santa Monica Blvd
Suite 5
Santa Monica, CA 90404
Mailing address
1908 Santa Monica Blvd
Suite 5
Santa Monica, CA 90404
Phone (310) 828-5571
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669693693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 SANTA MONICA BLVD",
"address_2": "SUITE 5",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-828-5571",
"fax_number": "310-828-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 SANTA MONICA BLVD",
"address_2": "SUITE 5",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-828-5571",
"fax_number": "310-828-4247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REISS WOZNAK MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOZNAK",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
"authorized_official_telephone_number": "310-828-5571",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "C28067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.