# GARDENA HOSPITAL LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEMORIAL HOSPITAL OF GARDENA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669491700
- **Authorized official:** STEPHEN POPKIN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (310) 532-4200

## Contact information

- **Practice address:** 1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
- **Practice address phone:** (310) 532-4200
- **Practice address fax:** (310) 512-6123
- **Mailing address:** 1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
- **Mailing address phone:** (310) 532-4200
- **Mailing address fax:** (310) 512-6123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | HSP49929 | CA | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 09/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1998733 | PK | — |
| 05 | — | HSC30468I | — | CA |
| 05 | — | PHB463690 | — | CA |