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PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S NPI 1417992868


NPI Information

NPI: 1417992868
Provider Name: PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1328 22ND ST
PATHOLOGY DEPT
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-8101
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PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S is an anatomic pathology and clinical pathology pathology in Santa Monica, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S NPI is 1417992868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1328 22ND ST
PATHOLOGY DEPT
SANTA MONICA, CA
ZIP 90404-032
Phone: (310) 829-8101
Fax: (310) 829-6509

The provider's authorized official is David L Krasne .
The authorized official title is Managing Partner and has the following contact phone number (310) 829-8101.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 10/4/2007.


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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyG58882CALIFORNIAYes

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
1HW13275MEDICARE PINCALIFORNIA
2GR0095430MEDICAIDCALIFORNIA

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: 4/28/2024

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