Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GARDENA HOSPITAL LP
Active
Organization
GARDENA HOSPITAL LP
Active
Other names
MEMORIAL HOSPITAL OF GARDENA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN POPKIN (CHIEF EXECUTIVE OFFICER)
(310) 532-4200
Entity
Organization
Contact information
Practice address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 532-4200
(310) 512-6123
Mailing address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 532-4200
(310) 512-6123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP49929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998733
PK
—
05
—
HSC30468I
—
CA
05
—
PHB463690
—
CA
Enumeration date
07/19/2006
Last updated
09/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers