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JOHN WAYNE CANCER INSTITUTE NPI 1437287117


NPI Information

NPI: 1437287117
Provider Name: JOHN WAYNE CANCER INSTITUTE
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
1328 22ND ST
SANTA MONICA, CA
ZIP 90404
Phone: (310) 449-5253
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JOHN WAYNE CANCER INSTITUTE is a surgical oncology surgery in Santa Monica, CA. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. JOHN WAYNE CANCER INSTITUTE NPI is 1437287117. The provider is registered as an organization entity type.

The provider's business location address is:

1328 22ND ST
SANTA MONICA, CA
ZIP 90404-032
Phone: (310) 449-5253

The provider's authorized official is Stuart P Jackson .
The authorized official title is Director, Financial Services and has the following contact phone number (310) 449-5253.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies332B00000XCALIFORNIANo
22086X0206XSurgerySurgical OncologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10889720001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2BG404AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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