Providence Little Company Of Mary Medical Center San Pedro
LBN: Providence Health System - Southern California
Providence Little Company Of Mary Medical Center San Pedro is an health care organization with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. The organization recently has only one registered license in Hospital Units / Rehabilitation Unit, which is considered as the primary health care specialty.
Providence Health System - Southern California can be contacted via phone (310) 303-7496, or through Anderson, Donald Wayne via phone (425) 525-5392.
Contact Information
Primary practice address
1300 W 7Th St
San Pedro CA 90732-3505
Phone: (310) 303-7496
Fax: (310) 303-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospital Units / Rehabilitation Unit | 273Y00000X |
Profile Details
| NPI number | 1821019514 |
|---|---|
| LBN Legal business name | Providence Health System - Southern California |
| DBA Doing business as | Providence Little Company Of Mary Medical Center San Pedro |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Apr 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821019514 | NPPES |
| California | Other | 05T078 | BLUE CROSS |
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