Organization Name: | SAINT JOHN'S HEALTH CLINIC |
NPI Number: | 1336438902 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOU LAZATIN (PRESIDENT & CEO) |
Mailing Address: | 2121 Santa Monica Blvd Santa Monica |
State: | CA US |
Postal Code: | 904042303 |
Phone Number: | 3108298754 |
Fax Number: | 3108298062 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A74690 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |