# CHA HOLLYWOOD MEDICAL CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hollywood Presbyterian Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922033547
- **Authorized official:** MR. KENNETH I RIVERS (PRESIDENT, CEO)
- **Authorized official phone:** (323) 913-4914

## Contact information

- **Practice address:** 1300 NORTH VERMONT AVE, LOS ANGELES, CA 90027
- **Practice address phone:** (213) 413-3000
- **Practice address fax:** (323) 660-7952
- **Mailing address:** 1300 NORTH VERMONT AVE., LOS ANGELES, CA 90027
- **Mailing address phone:** (213) 413-3000
- **Mailing address fax:** (323) 660-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 930000067 | CA | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 04/17/2014