<Unavail>

LBN: Providence Saint Johns Medical Foundation
<Unavail> is an health care organization with primary practice located at 2121 Santa Monica Blvd , Santa Monica CA 90404-2303. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Other Service Providers / Specialist is the primary health care specialty. Providence Saint Johns Medical Foundation can be contacted via phone (310) 582-7312, or through Anderson, Donald W. via phone (425) 358-9786.

Contact Information

Primary practice address
2121 Santa Monica Blvd Santa Monica CA 90404-2303
Phone: (310) 582-7312
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W.
Phone: (425) 358-9786

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1770093734
LBN Legal business name Providence Saint Johns Medical Foundation
DBA Doing business as <Unavail>
Authorized official Anderson, Donald W.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2017
Last updated May 6th, 2025 - about last year

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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