# PROVIDENCE SAINT JOHN'S HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124026273
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
- **Practice address phone:** (310) 829-5511
- **Practice address fax:** (310) 315-6135
- **Mailing address:** 1328 22ND ST, SANTA MONICA, CA 90404-2032
- **Mailing address phone:** (310) 829-5511
- **Mailing address fax:** (310) 315-6135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 930000158 | CA | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 05/09/2025