Pathology Medical Group Of Saint John'S

LBN: Pathology Medical Group Of Saint John'S
Pathology Medical Group Of Saint John'S is an health care organization with primary practice located at 1328 22Nd St Pathology Dept, Santa Monica CA 90404-2032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Pathology Medical Group Of Saint John'S can be contacted via phone (310) 829-8101, or through Krasne, David L via phone (310) 829-8101.

Contact Information

Primary practice address
1328 22Nd St Pathology Dept Santa Monica CA 90404-2032
Phone: (310) 829-8101
Fax: (310) 829-6509
Website:
Map and Directions
Authorized official contact:
Name: Krasne, David L Doctor of Medicine (MD)
Phone: (310) 829-8101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G58882 California

Profile Details

NPI number 1417992868
LBN Legal business name Pathology Medical Group Of Saint John'S
DBA Doing business as
Authorized official Krasne, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 4th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1417992868 NPPES
California MEDICAID GR0095430

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