Dr LISA D VIDATO MD is a female medical professional, specializing in Anesthesiology. She graduated in 1988 from Brown University Program In Medicine.
BAYSIDE ANESTHESIA MEDICAL GROUP
1328 22ND ST
ST JOHNS HOSPITAL
SANTA MONICA
CA
904042091
Tel: 3104772465
| Npi | 1164535001 |
| Pac Id | 2567421753 |
| Professional Enrollment Id | I20041020000665 |
| Last Name | VIDATO |
| First Name | LISA |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BAYSIDE ANESTHESIA MEDICAL GROUP |
| Group Practice Pac Id | 2466490560 |
| Number Of Group Practice Members | 46 |
| Line 1 Street Address | 1328 22ND ST |
| Line 2 Street Address | ST JOHNS HOSPITAL |
| Marker Of Address Line 2 Suppression | |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042091 |
| Phone Number | 3104772465 |
| Hospital Affiliation Ccn 1 | 050290 |
| Hospital Affiliation Lbn 1 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.