| NPI | 1609850320 |
|---|---|
| Doing Business As | PROVIDENCE ST. JOSEPH HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JEREMY ZOCH CEO 714-771-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 060000172) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-12-24 |