Organization
SAN FERNANDO COMMUNITY HOSPITAL
Active
Other names
San Fernando Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY L. SIMONS MSHA (CHIEF EXECUTIVE OFFICER)
(818) 365-5059
Entity
Organization
Contact information
Practice address
732 MOTT ST, SUITE 100, SAN FERNANDO, CA 91340-4237
(818) 963-5690
(818) 365-0726
Mailing address
732 MOTT ST, SUITE 100, SAN FERNANDO, CA 91340-4237
(818) 963-5690
(818) 365-0726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A14847
CA
261QD0000X
Dental Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
A48255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4640840
—
CA
Enumeration date
11/06/2013
Last updated
04/21/2020
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