Organization
LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL
Active
Other names
Little Company of Mary Sub Acute Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ZUANICH (CFO)
(310) 303-7561
Entity
Organization
Contact information
Practice address
3620 LOMITA BLVD, TORRANCE, CA 90505-3938
(310) 303-7561
(310) 303-7575
Mailing address
PO BOX 6668, SAN PEDRO, CA 90734-6668
(310) 303-7561
(310) 303-7575
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056490
BLUE CROSS
CA
05
—
LTC70027H
—
CA
05
—
ZZT18678K
—
CA
01
—
ZZZM1978B
BLUE SHIELD
CA
Enumeration date
06/22/2006
Last updated
04/27/2009
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