Providence Holy Cross Trauma Center

LBN: Providence Health System - Southern California
Providence Holy Cross Trauma Center is an health care organization with primary practice located at 15031 Rinaldi Street , Mission Hills CA 91345-1207. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Providence Health System - Southern California can be contacted via phone (818) 365-8051, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
15031 Rinaldi Street Mission Hills CA 91345-1207
Phone: (818) 365-8051
Fax: (818) 898-4569
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1689875601
LBN Legal business name Providence Health System - Southern California
DBA Doing business as Providence Holy Cross Trauma Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2007
Last updated Oct 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689875601 NPPES
California MEDICAID GR0101520

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