| Providence Saint Johns Medical Foundation | |
|
2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 | |
| (310) 582-7312 | |
| Not Available |
| Full Name | Providence Saint Johns Medical Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Santa Monica Blvd Ste 300, Santa Monica, California |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Saint Johns Medical Foundation 2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 Ph: (310) 582-7312 | Providence Saint Johns Medical Foundation 2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 Ph: (310) 582-7312 |
| NPI Number | 1518438712 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518438712 | NPI | - | NPPES |
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