| NPI | 1083664841 |
|---|---|
| Former Legal Business Name | PRESBYTERIAN INTERCOMMUNITY HOSPITAL, INC. |
| Entity Type | Organization |
| Authorized Contact | SUE R PONCE (AKA CARLSON) Special Projects 562-698-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A52601) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-07-27 |