# PROVIDENCE HEALTH & SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093056632
- **Authorized official:** JUANITA PADILLA (HEALTH PROMOTER)
- **Authorized official phone:** (818) 847-3909

## Contact information

- **Practice address:** 6801 COLDWATER CANYON AVE, SUITE 1A, NORTH HOLLYWOOD, CA 91605-5162
- **Practice address phone:** (818) 847-3909
- **Practice address fax:** (818) 847-3909
- **Mailing address:** 501 S BUENA VISTA ST, BURBANK, CA 91505-4809
- **Mailing address phone:** (818) 847-3909
- **Mailing address fax:** (818) 847-3923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | WA | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013