Providence Saint Johns Health Cid

LBN: Providence Saint John'S Health Center
Providence Saint Johns Health Cid is an health care organization with primary practice located at 1339 20Th St , Santa Monica CA 90404-2033. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Providence Saint John'S Health Center can be contacted via phone (310) 829-8921, or through Canas, Ruth via phone (310) 829-8921.

Contact Information

Primary practice address
1339 20Th St Santa Monica CA 90404-2033
Phone: (310) 829-8921
Fax: (310) 829-8455
Website:
Map and Directions
Authorized official contact:
Name: Canas, Ruth Licensed Clinical Social Worker (LCSW)
Phone: (310) 829-8921

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 569538 California

Profile Details

NPI number 1184750168
LBN Legal business name Providence Saint John'S Health Center
DBA Doing business as Providence Saint Johns Health Cid
Authorized official Canas, Ruth Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2007
Last updated Apr 21st, 2016 - about 8 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 1184750168 NPPES
California MEDICAID 000006792

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