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Organization

DIGNITY HEALTH

Active
Parent organization
DIGNITY HEALTH
Other names
Calif Hospital Medical Ctr-Calif Behavioral Health Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIGNITY HEALTH
Authorized official
REBECCA CHENG (CHIEF FINANCIAL OFFICER)
(213) 742-5910
Entity
Organization

Contact information

Practice address
1400 S GRAND AVE STE 600, LOS ANGELES, CA 90015-3048
(213) 742-6250
(213) 742-6312
Mailing address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5778
(213) 765-4078

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10259403
DMH VENDOR NUMBER
CA
01
7590
MEDI-CAL PROVIDER ID
CA
Enumeration date
03/09/2007
Last updated
07/14/2015
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