Provider Demographics
NPI:1780615336
Name:DELAMARTER, RICK BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:BRIAN
Last Name:DELAMARTER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1301 20TH STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2080
Mailing Address - Country:US
Mailing Address - Phone:310-828-7757
Mailing Address - Fax:310-828-6687
Practice Address - Street 1:1301 20TH STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2080
Practice Address - Country:US
Practice Address - Phone:310-828-7757
Practice Address - Fax:310-828-6687
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG49185207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE02683Medicare UPIN