Organization
PRIME HEALTHCARE CENTINELA, LLC
Active
Other names
Centinela Hospital Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL)
(909) 235-4307
Entity
Organization
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 680-1488
(909) 464-8887
Mailing address
3300 E GUASTI RD, 3RD FLOOR, ONTARIO, CA 91761-8655
(909) 235-4307
(909) 235-4316
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
930000027
CA
Other
Enumeration date
10/26/2007
Last updated
11/09/2016
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