Providence Health System - Southern California
NPI #1497241541 in San Pedro, California
Provider Information
- NPI Number
- 1497241541
- Entity Type
- Organization
- Organization Name
- Providence Health System - Southern California
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORINA
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Jul 2, 2018
- Last Updated
- May 9, 2025
Practice Location
- Address
- 1386 W 7TH ST # A
- City
- San Pedro
- State
- California
- ZIP Code
- 90732-3517
- Phone
- (310) 241-4330
Authorized Official
- Name
- DONALD W ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| General Acute Care Hospital |
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