Organization
ST VINCENT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JACOBY (COMPLIANCE MANAGER)
(213) 484-7067
Entity
Organization
Contact information
Practice address
2131 WEST THIRD ST, LOS ANGELES, CA 90057-0992
(213) 484-7111
Mailing address
2131 WEST THIRD ST, LOS ANGELES, CA 90057-0992
(213) 484-7111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30502H
—
CA
05
—
LTC5437G
—
CA
05
—
ZZT40502H
—
CA
Enumeration date
04/15/2008
Last updated
04/03/2017
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