Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital - South Bay
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY A WILLE (EXECUTIVE DIRECTOR)
(310) 517-2745
Entity
Organization
Contact information
Practice address
25825 SOUTH VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Mailing address
25825 SOUTH VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000079
CA
324500000X
Substance Abuse Rehabilitation Facility
930000079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050411B000000
DHS SECTION 1011
CA
01
—
339040905
USDOL
CA
01
—
50411
BLUE CROSS
CA
05
—
ZZT30411F
—
CA
05
—
ZZT40411F
—
CA
01
—
ZZZC1971Z
BLUE SHIELD
CA
Enumeration date
01/24/2007
Last updated
04/20/2021
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