1821019514 PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

Rehabilitation Hospital Unit

Active

Basic Information

Organization Name
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Enumeration Date
July 21, 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) 303-7496
Fax
(310) 303-7575

Mailing Address

Address
PO BOX 31001-3017
PASADENA, CA 911103017
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Rehabilitation Hospital Unit
273Y00000X Rehabilitation Unit N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
05T078 01 CA BLUE CROSS

Frequently Asked Questions

What is PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA's NPI number?
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA's NPI number is 1821019514.
Which doctor has NPI number 1821019514?
The doctor with NPI number 1821019514 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) 303-7496.
Who is (310) 303-7496?
(310) 303-7496 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 Rehabilitation Hospital Unit.
What type of doctor is PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA?
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a Rehabilitation Hospital Unit.
Is PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA a Rehabilitation Unit?
Yes, PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a Rehabilitation 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) 303-7496 to inquire about availability.
Is NPI 1821019514 still active?
Yes, NPI 1821019514 is currently active.
Where does PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA practice?
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA practices in SAN PEDRO, CA.