# PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Saint Joseph Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336173269
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 501 S BUENA VISTA ST, BURBANK, CA 91505-4809
- **Practice address phone:** (818) 847-3022
- **Practice address fax:** (310) 303-7575
- **Mailing address:** PO BOX 31001-3017, PASADENA, CA 91110-3017

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 05/09/2025