1508972456 PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

Institutional Pharmacy

Active

Basic Information

Organization Name
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Enumeration Date
August 22, 2006
Last Update
May 9, 2025
Authorized Official
DONALD W ANDERSON JR.
ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
1300 W 7TH ST
SAN PEDRO, CA 907323505
Phone
(310) 832-3311
Fax
(310) 514-5462

Mailing Address

Address
1300 W 7TH ST
SAN PEDRO, CA 907323505
Phone
(310) 514-5267
Fax
(310) 514-5462

Specialties & Taxonomies

Specialty Code Classification License State Primary
Long Term Care Pharmacy
Long Term Care Pharmacy
3336L0003X Pharmacy N/A N/A No
Institutional Pharmacy
Institutional Pharmacy
3336I0012X Pharmacy HSP47226 CA Primary

Other Identifiers

Identifier Type State Issuer
0544519 01 N/A NCPDP PROVIDER IDENTIFICATION NUMBER
PHB472260 05 CA N/A

Frequently Asked Questions

What is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's NPI number?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's NPI number is 1508972456.
Which doctor has NPI number 1508972456?
The doctor with NPI number 1508972456 is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA.
What is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's practice address?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's practice address is 1300 W 7TH ST, SAN PEDRO, CA, 907323505.
Which doctor practices at 1300 W 7TH ST, SAN PEDRO, CA, 907323505?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA practices at 1300 W 7TH ST, SAN PEDRO, CA, 907323505.
What is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's phone number?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's phone number is (310) 832-3311.
Who is (310) 832-3311?
(310) 832-3311 is the phone number for PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA.
What is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's specialty?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA's specialty is Institutional Pharmacy.
What type of doctor is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA is a Institutional Pharmacy.
Is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA a Institutional Pharmacy?
Yes, PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA is a Institutional Pharmacy.
Is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA still practicing?
Yes, PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA is currently practicing.
Is PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA accepting new patients?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA may be accepting new patients. Please call their office at (310) 832-3311 to inquire about availability.
Is NPI 1508972456 still active?
Yes, NPI 1508972456 is currently active.
Where does PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA practice?
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA practices in SAN PEDRO, CA.