Organization
ST JOHN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M HERIC (PRESIDENT)
(323) 664-1814
Entity
Organization
Contact information
Practice address
1155 N VERMONT AVE, SUITE 200, LOS ANGELES, CA 90029-1753
(323) 664-1814
(323) 663-1723
Mailing address
1155 N VERMONT AVE, SUITE 200, LOS ANGELES, CA 90029-1753
(323) 664-1814
(323) 663-1723
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A22944
CA
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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