Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Surgical Associates of Santa Monica

Organization Surgery Physician · NPI 1063209195

Advanced Surgical Associates of Santa Monica is a Surgery Physician in Santa Monica, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2001 Santa Monica Blvd Ste 1170W
Santa Monica, CA 90404-2122
Phone: (310) 828-2212
Fax: (310) 828-6829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1063209195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Lublin — Md · (310) 828-2212
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address2001 Santa Monica Blvd Ste 1170w, Santa Monica, CA 90404-2122

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