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

Lifespan Medicine

Organization General Practice Physician · NPI 1043536592

Lifespan Medicine is a General Practice Physician in Santa Monica, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2811 Wilshire Blvd Ste 610
Santa Monica, CA 90403
Phone: (310) 453-2335
Fax: (310) 453-2332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1043536592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Renne — Ceo · (310) 453-2335
NPI enumeratedApril 8, 2010
Last updated in NPPESApril 8, 2010
Mailing address2811 Wilshire Blvd, 610, Santa Monica, CA 90403

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