1154349371 PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

Psychiatric Hospital Unit

Active

Basic Information

Organization Name
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Enumeration Date
July 17, 2006
Last Update
May 8, 2025
Authorized Official
DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Practice Location

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

Mailing Address

Address
PO BOX 31001-3017
PASADENA, CA 911103017
Phone
(310) 303-7496
Fax
(310) 303-7496

Specialties & Taxonomies

Specialty Code Classification License State Primary
Psychiatric Hospital Unit
273R00000X Psychiatric Unit N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
05S078 01 CA BLUE CROSS
HSM30078G 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 1154349371.
Which doctor has NPI number 1154349371?
The doctor with NPI number 1154349371 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 mailing address?
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA's mailing address is PO BOX 31001-3017, PASADENA, CA, 911103017.
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 Psychiatric Hospital Unit.
What type of doctor is PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA?
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a Psychiatric Hospital Unit.
Is PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA a Psychiatric Unit?
Yes, PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a Psychiatric Unit.
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 1154349371 still active?
Yes, NPI 1154349371 is currently active.
Where does PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA practice?
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA practices in SAN PEDRO, CA.