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Organization
PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC
Active
Organization
PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC
Active
Other names
Sherman Oaks Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 907-4540
(818) 907-2829
Mailing address
3300 E GUASTI RD, 3RD FLOOR, ONTARIO, CA 91761-8655
(909) 235-4400
(909) 235-4419
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
930000149
CA
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC301141
—
CA
05
—
HSC30114I
—
CA
Enumeration date
06/24/2011
Last updated
04/05/2023
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