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Organization
PROVIDENCE LITTLE CO. OF MARY HOSPITAL IN SAN PEDRO
Active
Organization
PROVIDENCE LITTLE CO. OF MARY HOSPITAL IN SAN PEDRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNULFO TARROBAGO FERNANDEZ JR. RN (PET TEAM)
(310) 514-5480
Entity
Organization
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5480
Mailing address
1018 8TH ST, HERMOSA BEACH, CA 90254-4311
(310) 936-6161
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
NULL
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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