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Organization

PRIME HEALTHCARE PARADISE VALLEY LLC

Active
Other names
Paradise Valley Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization

Contact information

Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
(619) 470-4103
Mailing address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4124

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
090000086
CA

Other

Enumeration date
11/15/2013
Last updated
12/10/2020
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