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NPI Code Detail

MEDICARE: GARDENA HOSPITAL LP

MEDICARE: GARDENA HOSPITAL LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336I0012XInstitutional PharmacyHSP49929CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11998733OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669491700
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARDENA HOSPITAL LP
Provider Business Mailing Address
First Line : 1145 W REDONDO BEACH BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90247-3511
Country : US
Telephone Number : 310-532-4200
Fax Number : 310-512-6123
Provider Business Practice Location Address
First Line : 1145 W REDONDO BEACH BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90247-3511
Country : US
Telephone Number : 310-532-4200
Fax Number : 310-512-6123
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : STEPHEN POPKIN
Credential :
Telephone Number : 310-532-4200
Provider Enumeration Date : 07/19/2006
Last Update Date : 09/13/2016

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Directions to “GARDENA HOSPITAL LP ” Practice Location

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