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Organization

LITTLE COMPANY OF MARY HOSPITAL

Active
Other names
Little Company of Mary Pavilion
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH ZUANICH (CFO)
(310) 303-7561
Entity
Organization

Contact information

Practice address
4320 MARICOPA ST, TORRANCE, CA 90503-4314
(310) 303-7496
(310) 303-7575
Mailing address
PO BOX 6668, SAN PEDRO, CA 90734-6668
(310) 303-7496
(310) 303-7575

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056499
BLUE CROSS PROV#
CA
05
LTC06499F
CA
01
ZZZM1976B
BLUE SHIELD PROV#
CA
Enumeration date
07/27/2006
Last updated
04/27/2009
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