PROVIDENCE SAINT JOHN'S HEALTH CLINIC
NPI 1336438902
Specialist in Santa Monica, CA

Q: What is Saint John's Health Clinic's NPI number?

The NPI number for Saint John's Health Clinic is 1336438902. It was assigned to this organization in the NPPES registry on April 4, 2011. The provider is doing business as Providence Saint John's Health Clinic.

Q: What is Saint John's Health Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 04, 2011

2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-8754(310) 829-8062 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Providence Saint John's Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE SAINT JOHN'S HEALTH CLINIC (NPI 1336438902) is a healthcare organization registered as a specialist in Santa Monica, California and active in the NPI registry since April 2011. The organization lists Donald W Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1336438902

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSAINT JOHN'S HEALTH CLINIC

Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303

Mailing AddressPo Box 31001-3029Pasadena, CA 91110-3029

Phone(310) 829-8754

Fax(310) 829-8062

Organization SubpartYesParent: Saint John's Health Center

Authorized OfficialDonald W AndersonAssistant Secretary For Enrollment · (425) 525-5392

Enumeration DateApril 4, 2011

Last NPPES UpdateApril 23, 2021

NPPES CertifiedApril 23, 2021

✔ NPI 1336438902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in CA · G31595✔ Licensed in CA · G70184✔ Licensed in CA · A76881✔ Licensed in CA · A76707✔ Licensed in CA · A81646✔ Licensed in CA · A108734✔ Licensed in CA · G27424✔ Licensed in CA · A102707✔ Licensed in CA · G34311✔ Licensed in CA · A74690

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

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Other Names 1

Doing Business AsProvidence Saint John's Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINA RIM KANG MD

Hospitalist