Healthcare Provider Details

I. General information

NPI: 1114059557
Provider Name (Legal Business Name): HENRY MAYO NEWHALL MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US

IV. Provider business mailing address

23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US

V. Phone/Fax

Practice location:
  • Phone: 661-253-8000
  • Fax: 661-200-1042
Mailing address:
  • Phone: 661-200-1021
  • Fax: 661-200-1042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. ROGER E. SEAVER
Title or Position: PRESIDENT, CEO
Credential:
Phone: 661-253-8000