Organization
CHA HOLLYWOOD MEDICAL CENTER LP
Active
Other names
Hollywood Presbyterian Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L ALLEN (CHIEF FINANCIAL OFFICER)
(323) 913-4914
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6005
(323) 913-4989
(323) 913-4876
Mailing address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6005
(323) 913-4989
(323) 913-4876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY47030
CA
3336C0003X
Community/Retail Pharmacy
PHY47030
CA
3336L0003X
Long Term Care Pharmacy
PHY47030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0552580
NABP NUMBER
—
05
—
PHA470300
—
CA
Enumeration date
07/18/2006
Last updated
09/11/2025
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