Providence Healthcare Inc

LBN: Providence Healthcare Inc
Providence Healthcare Inc is an health care organization with primary practice located at 13160 Mindanao Way , Marina Del Rey CA 90292-6358. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Providence Healthcare Inc can be contacted via phone (310) 437-7923, or through Matsuda, Dean via phone (310) 963-0994.

Contact Information

Primary practice address
13160 Mindanao Way Marina Del Rey CA 90292-6358
Phone: (310) 437-7923
Fax: (310) 561-1927
Website:
Map and Directions
Authorized official contact:
Name: Matsuda, Dean Doctor of Medicine (MD)
Phone: (310) 963-0994

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G056259 California

Profile Details

NPI number 1760984033
LBN Legal business name Providence Healthcare Inc
DBA Doing business as
Authorized official Matsuda, Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2018
Last updated Mar 2nd, 2018 - about 6 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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