# SAN PEDRO PENINSULA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little Company of Mary Sub Acute Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891718797
- **Authorized official:** MRS. ELIZABETH ZUANICH (CFO)
- **Authorized official phone:** (310) 303-7561

## Contact information

- **Practice address:** 3620 LOMITA BLVD, TORRANCE, CA 90505-3938
- **Practice address phone:** (310) 303-7561
- **Practice address fax:** (310) 303-7575
- **Mailing address:** PO BOX 6668, SAN PEDRO, CA 90734-6668
- **Mailing address phone:** (310) 303-7561
- **Mailing address fax:** (310) 303-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 04/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 056490 | BLUE CROSS PROV\# | CA |
| 05 | — | ZZT18678J | — | CA |
| 01 | — | ZZZM1978B | BLUE SHIELD PROV\# | CA |