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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA NPI 1497241541


NPI Information

NPI: 1497241541
Provider Name: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

Doing Business As: PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO OBHC

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1386 W 7TH ST # A
SAN PEDRO, CA
ZIP 90732
Phone: (310) 241-4330
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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a general acute care hospital in San Pedro, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA NPI is 1497241541. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Little Company Of Mary Medical Center San Pedro Obhc.

The provider's business location address is:

1386 W 7TH ST # A
SAN PEDRO, CA
ZIP 90732-517
Phone: (310) 241-4330
Fax: (310) 241-4342

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec For Enrollment/dir Reimb and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 7/2/2018.


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
1251S00000XCommunity/Behavioral HealthNo
2282N00000XGeneral Acute Care Hospital930000142CALIFORNIAYes

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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