# PRIME HEALTHCARE LA PALMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Palma Intercommunity Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417965559
- **Authorized official:** PREM REDDY M.D. (CHAIRMAN/PRESIDENT)
- **Authorized official phone:** (909) 235-4400

## Contact information

- **Practice address:** 7901 WALKER STREET, LA PALMA, CA 90623-1722
- **Practice address phone:** (714) 670-7400
- **Practice address fax:** (714) 229-6813
- **Mailing address:** 3300 E. GUASTI ROAD, ONTARIO, CA 91761-8654
- **Mailing address phone:** (909) 235-4400
- **Mailing address fax:** (909) 235-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 060000136 | CA | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 12/23/2014