Providence Health System - Southern California in San Pedro - Psychiatric Unit
Providence Health System - Southern California - NPI 1154349371
Providence Health System - Southern California is a Psychiatric Unit in San Pedro, California. Providence Health System - Southern California practices all healthcare services and medical treatments related to Psychiatric Unit. The NPI Number for Providence Health System - Southern California is 1154349371. The last update date is 2018-12-24.
Providence Health System - Southern California's current location address is 1300 W 7th St, San Pedro, California. You can contact this provider via phone number 3108323311. The mailing address for Providence Health System - Southern California is 1300 W 7th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health System - Southern California |
|---|---|
| Address | 1300 W 7th St, San Pedro, California |
| Phone Number | 3108323311 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1154349371 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2018-12-24 |
Provider Mailing Address Detail
| Address | 1300 W 7th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323505 |
| Phone Number | 3108323311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Unit |
|---|---|
| Taxonomy | 273R00000X |
|
Definition: In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders a |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSM30078G | CA | -- | |
| 05S078 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Providence Health System - Southern California by the Centers for Medicare & Medicaid Services?
The Providence Health System - Southern California has been issued the NPI (National Provider Identifier) 1154349371, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Providence Health System - Southern California is physically located?
The Providence Health System - Southern California is physically situated at the following address: 1300 W 7Th St, San Pedro, CA, 907323505.
What is the Providence Health System - Southern California's specialty and taxonomy code?
The Providence Health System - Southern California's specialty is Psychiatric Unit, and the corresponding taxonomy code is 273R00000X.
On what date did Providence Health System - Southern California receive its 1154349371 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health System - Southern California was assigned its 1154349371 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Providence Health System - Southern California most recently updated or revised?
The information pertaining to Providence Health System - Southern California, including its address, specialty, and other relevant details, was last updated or revised on 2018-12-24.