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Organization
SAINT JOHN'S HEALTH CLINIC
Active
Organization
SAINT JOHN'S HEALTH CLINIC
Active
Parent organization
SAINT JOHN'S HEALTH CENTER
Other names
PROVIDENCE SAINT JOHN'S HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOHN'S HEALTH CENTER
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 525-5392
Entity
Organization
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8754
(310) 829-8062
Mailing address
PO BOX 31001-3029, PASADENA, CA 91110-3029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A102707
CA
174400000X
Specialist
A108734
CA
174400000X
Specialist
A74690
CA
174400000X
Specialist
A76707
CA
174400000X
Specialist
A76881
CA
174400000X
Specialist
A81646
CA
174400000X
Specialist
G27424
CA
174400000X
Specialist
Primary
G31595
CA
174400000X
Specialist
G34311
CA
174400000X
Specialist
G70184
CA
Other
Enumeration date
04/04/2011
Last updated
04/23/2021
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