Hospital(s) Affiliation Information |
|
Hospital Affiliation CCN 1
|
050078
|
|
Medicare CCN of hospital where individual professional provides service 1
|
|
Hospital Affiliation LBN 1
|
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
|
|
Legal business name of hospital where individual professional provides service 1
|
|
Hospital Affiliation CCN 2
|
050353
|
|
Medicare CCN of hospital where individual professional provides service 2
|
|
Hospital Affiliation LBN 2
|
PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
|
|
Legal business name of hospital where individual professional provides service 2
|
|
Hospital Affiliation CCN 3
|
050376
|
|
Medicare CCN of hospital where individual professional provides service 3
|
|
Hospital Affiliation LBN 3
|
LAC/HARBOR-UCLA MED CENTER
|
|
Legal business name of hospital where individual professional provides service 3
|
|
Hospital Affiliation CCN 4
|
050351
|
|
Medicare CCN of hospital where individual professional provides service 4
|
|
Hospital Affiliation LBN 4
|
TORRANCE MEMORIAL MEDICAL CENTER
|
|
Legal business name of hospital where individual professional provides service 4
|
|
Professional Accepts Medicare Assignment
|
M
|
|
|