Organization Active NPI

Reiss Woznak Medical Clinic

  • General Practice Physician
  • Santa Monica, CA
National Provider Identifier
1669693693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C28067 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.