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1760984033
PROVIDENCE HEALTHCARE INC
MARINA DEL REY, CA
NPI
1760984033
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Entity Type
Organization
Authorized Contact
DEAN MATSUDA
President
310-963-0994
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA g056259)
Enumeration Date
2018-03-02
Last Update Date
2018-03-02
Business Address
PROVIDENCE HEALTHCARE INC
13160 MINDANAO WAY
MARINA DEL REY, CA 90292-6358
Phone number: 310-437-7923
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Mailing Address
PROVIDENCE HEALTHCARE INC
214 MAIN ST
EL SEGUNDO, CA 90245-3803
Phone number: 310-322-4278
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