Organization
SAN PEDRO PENINSULA HOSPITAL
Active
Organization
SAN PEDRO PENINSULA HOSPITAL
Active
Parent organization
SAN PEDRO PENINSULA HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN PEDRO PENINSULA HOSPITAL
Authorized official
MR. ELIZABETH ZUANICH (CFO)
(310) 303-7496
Entity
Organization
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 303-7496
(310) 303-7575
Mailing address
PO BOX 541024, LOS ANGELES, CA 90054-1024
(310) 303-7496
(310) 303-7575
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05S078
BLUE CROSS
CA
05
—
HSM30078F
—
CA
Enumeration date
07/27/2006
Last updated
04/27/2009
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