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Organization
LITTLE COMPANY OF MARY HOSPITAL
Active
Organization
LITTLE COMPANY OF MARY HOSPITAL
Active
Other names
Little Company of Mary Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ZUANICH (CFO)
(310) 303-7561
Entity
Organization
Contact information
Practice address
4320 MARICOPA ST, TORRANCE, CA 90503-4314
(310) 303-7496
(310) 303-7575
Mailing address
PO BOX 6668, SAN PEDRO, CA 90734-6668
(310) 303-7496
(310) 303-7575
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056499
BLUE CROSS PROV#
CA
05
—
LTC06499F
—
CA
01
—
ZZZM1976B
BLUE SHIELD PROV#
CA
Enumeration date
07/27/2006
Last updated
04/27/2009
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