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Organization

CHA HOLLYWOOD MEDICAL CENTER LP

Active
Other names
Holyywood Presbyterian Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH I RIVERS (PRESIDENT, CEO)
(323) 913-4914
Entity
Organization

Contact information

Practice address
4636 FOUNTAIN AVE, LOS ANGELES, CA 90029-1830
(323) 913-4830
(323) 913-4552
Mailing address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6005
(213) 413-3000
(323) 660-0446

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC70045G
CA
05
ZZT06311G
CA
Enumeration date
07/13/2006
Last updated
04/17/2014
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