# PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sherman Oaks Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750491247
- **Authorized official:** PREM REDDY MD, FACC, FCCP (CHAIRMAN/PRES/CEO)
- **Authorized official phone:** (909) 235-4400

## Contact information

- **Practice address:** 4929 VAN NUYS BLVD., SHERMAN OAKS, CA 91403-1702
- **Practice address phone:** (818) 981-7111
- **Practice address fax:** (818) 501-6430
- **Mailing address:** 3300 E GUASTI RD, 3RD FLOOR, ONTARIO, CA 91761-8655
- **Mailing address phone:** (909) 235-4400
- **Mailing address fax:** (909) 235-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 930000149 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 01/14/2014