Healthcare Provider Details

I. General information

NPI: 1679863195
Provider Name (Legal Business Name): CPH HOSPITAL PROPERTIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 STUDEBAKER RD
NORWALK CA
90650-2531
US

IV. Provider business mailing address

111 N SEPULVEDA BLVD SUITE 230
MANHATTAN BEACH CA
90266-6861
US

V. Phone/Fax

Practice location:
  • Phone: 562-868-3751
  • Fax: 562-868-3198
Mailing address:
  • Phone: 424-241-1550
  • Fax: 424-241-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES P. MACPHERSON
Title or Position: MANAGER
Credential:
Phone: 424-241-1550