Providence Healthcare INC
NPI #1760984033 in Marina Del Rey, California
Provider Information
- NPI Number
- 1760984033
- Entity Type
- Organization
- Organization Name
- Providence Healthcare INC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Mar 2, 2018
- Last Updated
- Mar 2, 2018
Practice Location
- Address
- 13160 MINDANAO WAY
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6358
- Phone
- (310) 437-7923
Authorized Official
- Name
- DEAN MATSUDA, MD
- Title
- PRESIDENT
- Phone
- (310) 963-0994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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