OrganizationActive
360 Mind
NPI 1366753683 · Neurological Surgery Physician · Santa Monica, CA
Provider details
- NPI number
- 1366753683
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Katherine Kerr, Vp of Operations
- License
- C53853 (CA)
Practice location
1328 22nd St
Santa Monica, CA 90404-2032
Phone: (310) 582-7450
Fax: (310) 582-7495
Mailing address
Po Box 7111
Santa Monica, CA 90406-7111
Registry dates
- Enumerated
- 2010-07-01
- Last updated
- 2010-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.