Basic Information
| Provider Information | |||||||||
| NPI: | 1780615336 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DELAMARTER | ||||||||
| FirstName: | RICK | ||||||||
| MiddleName: | BRIAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 20TH STREET | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904042080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108287757 | ||||||||
| FaxNumber: | 3108286687 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 20TH STREET | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904042080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108287757 | ||||||||
| FaxNumber: | 3108286687 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0117X | G49185 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
No ID Information.