# PIH HEALTH GOOD SAMARITAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508859323
- **Authorized official:** SUSANNE (SUE) R PONCE (AKA CARLSON) (SPECIAL PROJECTS)
- **Authorized official phone:** (562) 698-0811

## Contact information

- **Practice address:** 1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
- **Practice address phone:** (213) 977-2121
- **Practice address fax:** (213) 202-7118
- **Mailing address:** 1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
- **Mailing address phone:** (213) 977-2121
- **Mailing address fax:** (213) 202-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 930000071 | CA | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 07/26/2021