Organization
SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC
Active
Parent organization
ALTA HOSPITALS SYSTEM, LLC
Other names
Southern California Hospital at Hollywood, at Van Nuys, at Culver City
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTA HOSPITALS SYSTEM, LLC
Authorized official
MR. JON ZILKOW (CHIEF FINANCIAL OFFICER)
(310) 943-4500
Entity
Organization
Contact information
Practice address
6245 DE LONGPRE AVE, HOLLYWOOD, CA 90028-8253
(323) 462-2271
(323) 463-3830
Mailing address
3415 S SEPULVEDA BLVD FL 9, LOS ANGELES, CA 90034-6060
(310) 943-4500
(310) 943-4501
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30135I
—
CA
05
—
HSP30135I
—
CA
05
—
HSP40135I
—
CA
01
—
ZZZC9928Z
BLUE SHEILD
CA
Enumeration date
06/02/2005
Last updated
02/04/2021
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