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Organization
PROVIDENCE SAINT JOHN'S HEALTH CENTER
Active
Organization
PROVIDENCE SAINT JOHN'S HEALTH CENTER
Active
Parent organization
SAINT JOHN'S HOSPITAL AND HEALTH CENTER
Other names
Providence Saint Johns Health CDH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOHN'S HOSPITAL AND HEALTH CENTER
Authorized official
MRS. RUTH CANAS LCSW (OUTPATIENT DIRECTOR)
(310) 829-8921
Entity
Organization
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8921
(310) 829-8455
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8921
(310) 829-8455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
569538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007169
—
CA
Enumeration date
02/26/2007
Last updated
04/21/2016
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