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Contact Information

MAIE A ST JOHN, MD
200 MEDICAL PLAZA
#550
LOS ANGELES, CA90095
 Phone: 310-206-6688
 Fax: 310-206-4105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MAIE A ST JOHN · (Female)

NPI Number 1023029162
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 10/13/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A75058
  • MD License # D0105119
  • CA Medicaid 00A750580
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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