PROVIDENCE HEALTHCARE INC

MARINA DEL REY, CA
NPI1760984033
Entity TypeOrganization
Authorized ContactDEAN MATSUDA
President
310-963-0994
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: CA  g056259)
Enumeration Date2018-03-02
Last Update Date2018-03-02
Business Address
PROVIDENCE HEALTHCARE INC
13160 MINDANAO WAY
MARINA DEL REY, CA 90292-6358
Phone number: 310-437-7923
Mailing Address
PROVIDENCE HEALTHCARE INC
214 MAIN ST
EL SEGUNDO, CA 90245-3803
Phone number: 310-322-4278