Providence Health System - Southern California in San Pedro - Rehabilitation Unit
Providence Health System - Southern California - NPI 1821019514
Providence Health System - Southern California is a Rehabilitation Unit in San Pedro, California. Providence Health System - Southern California practices all healthcare services and medical treatments related to Rehabilitation Unit. The NPI Number for Providence Health System - Southern California is 1821019514. The last update date is 2021-04-01.
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 3103037496 and fax number 3103037575. 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 | 3103037496 |
| Fax Number | 3103037575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1821019514 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2021-04-01 |
Provider Mailing Address Detail
| Address | 1300 W 7th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323505 |
| Phone Number | 3103037496 |
| Fax Number | 3103037575 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Unit |
|---|---|
| Taxonomy | 273Y00000X |
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Definition: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05T078 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the Providence Health System - Southern California's unique identification number?
The Providence Health System - Southern California has been assigned the NPI (National Provider Identifier) Number 1821019514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Providence Health System - Southern California is physically located?
The Providence Health System - Southern California is situated at the following address: 1300 W 7Th St, San Pedro, CA 907323505.
What is Providence Health System - Southern California's area of expertise and its corresponding taxonomy classification?
The Providence Health System - Southern California's field of specialization is Rehabilitation Unit, and it falls under the taxonomy code 273Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1821019514 assigned to Providence Health System - Southern California?
The Providence Health System - Southern California was issued its 1821019514 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Providence Health System - Southern California last refreshed?
The information related to the Providence Health System - Southern California, including its address, specialty, and other relevant details, was last updated on 2021-04-01.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA