PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

SAN PEDRO, CA
NPI1154349371
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy273R00000X Psychiatric Unit
Enumeration Date2006-07-17
Last Update Date2018-12-24
Business Address
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
1300 W 7TH ST
SAN PEDRO, CA 90732-3505
Phone number: 310-832-3311
Mailing Address
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
PO BOX 2335
SPOKANE, WA 99210-2335
Phone number: 310-303-7496
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