Organization
ST VINCENT MEDICAL CENTER
Active
Other names
St Vincent Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN WILLIS (DIRECTOR OF PHARMACY)
(213) 484-7111
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7402
Mailing address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7402
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HSP 45704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5644287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/19/2005
Last updated
10/18/2013
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