Organization
DIGNITY COMMUNITY CARE
Active
Parent organization
DIGNITY COMMUNITY CARE
Other names
California Hospital Medical Center - Los Angeles
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY COMMUNITY CARE
Authorized official
REBECCA CHENG (CHIEF FINANCIAL OFFICER)
(213) 742-5898
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5910
(213) 765-4078
Mailing address
3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
(916) 861-1102
(916) 861-7707
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000024
CA
314000000X
Skilled Nursing Facility
930000024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010485
AETNA
CA
01
—
050149B000000
CMS SECTION 1011
CA
01
—
954310407
IRS
CA
01
—
954310407900150000
WPS TRICARE
CA
01
—
CGP156703
DHS
CA
01
—
CMC
UNIVERSAL
CA
05
—
HSC30149H
—
CA
05
—
HSC30149I
—
CA
05
—
ZZT05066I
—
CA
05
—
ZZT30149I
—
CA
05
—
ZZT40149I
—
CA
01
—
ZZZA2015Z
BLUE SHIELD
CA
Enumeration date
12/21/2006
Last updated
02/02/2021
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