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NPI Code Detail

MEDICARE: METHODIST HOSPITAL OF SOUTHERN CALIFORNIA

MEDICARE: METHODIST HOSPITAL OF SOUTHERN CALIFORNIA
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
1314000000XSkilled Nursing Facility930000103CA

General Provider Information

NPI Number : 1891783239
Entity Type Code : Organization
Provider Name (Legal Business Name) : METHODIST HOSPITAL OF SOUTHERN CALIFORNIA
Provider Business Mailing Address
First Line : 300 W HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91007-3402
Country : US
Telephone Number : 626-898-8000
Fax Number : 626-898-8890
Provider Business Practice Location Address
First Line : 300 W HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91007-3402
Country : US
Telephone Number : 626-898-8000
Fax Number : 626-898-8890
Authorized Official
Title or Position : PRESIDENT, CEO
Name : DAN AUSMAN
Credential :
Telephone Number : 626-574-3600
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/02/2012

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Directions to “METHODIST HOSPITAL OF SOUTHERN CALIFORNIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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