Sasu, Sebastian Johnson

Sasu, Sebastian Johnson is an sole proprietor health care provider with primary practice located at 1328 22Nd St , Santa Monica CA 90404-2032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Sasu, Sebastian Johnson can be contacted via phone (310) 829-8101.

Contact Information

Primary practice address
1328 22Nd St Santa Monica CA 90404-2032
Phone: (310) 829-8101
Fax: (310) 829-6509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A89268 California

Profile Details

NPI number 1548387095
LBN Legal business name Sasu, Sebastian Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Oct 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548387095 NPPES
California MEDICAID 00A892680

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