<Unavail>

LBN: Providence Saint Johns Medical Foundation
<Unavail> is an health care organization with primary practice located at 2020 Santa Monica Blvd Ste 300 , Santa Monica CA 90404-2013. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Saint Johns Medical Foundation can be contacted via phone (310) 582-7312, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013
Phone: (310) 582-7312
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1518438712
LBN Legal business name Providence Saint Johns Medical Foundation
DBA Doing business as <Unavail>
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2018
Last updated Feb 7th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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