Organization
PATHOLOGY GROUP OF ST. JOHN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KRASNE MD (MEDICAL DIRECTOR)
(310) 829-8101
Entity
Organization
Contact information
Practice address
1328 22ND ST, SANTA MONICA, CA 90404-2032
(310) 829-8101
(310) 829-6509
Mailing address
1328 22ND ST, DEPT. OF PATHOLOGY, ST. JOHN'S HEALTH CENTER, SANTA MONICA, CA 90404-2032
(310) 829-8101
(310) 829-6509
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
A76693
CA
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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