| St. Joseph Center - Wise & Healthy Aging | |
|
1527 4th St Fl 2 Santa Monica CA 90401 | |
| (310) 576-2550 | |
| (310) 576-2499 |
| Full Name | St. Joseph Center - Wise & Healthy Aging |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1527 4th St Fl 2, Santa Monica, California |
| Authorized Official Name and Position | Va Lecia Adams Kellum (PRESIDENT & CEO) |
| Authorized Official Contact | 3103966468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Center - Wise & Healthy Aging 1527 4th St Fl 2 Santa Monica CA 90401-2358 Ph: (310) 576-2550 | St. Joseph Center - Wise & Healthy Aging 1527 4th St Fl 2 Santa Monica CA 90401 Ph: (310) 576-2550 |
| NPI Number | 1043416993 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043416993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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