Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pathology Medical Group of Saint John's

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1417992868

Pathology Medical Group of Saint John's is an Anatomic Pathology & Clinical Pathology Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1328 22nd St Pathology Dept
Santa Monica, CA 90404-2032
Phone: (310) 829-8101
Fax: (310) 829-6509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence G58882 (CA)

Record details

NPI number1417992868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Krasne — Managing Partner · (310) 829-8101
NPI enumeratedJune 19, 2006
Last updated in NPPESOctober 4, 2007
Mailing address1328 22nd St, Pathology Dept, Santa Monica, CA 90404-2032

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