Organization
PIH HEALTH GOOD SAMARITAN HOSPITAL
Active
Other names
Good Samaritan Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE (SUE) R PONCE (AKA CARLSON) (SPECIAL PROJECTS)
(562) 698-0811
Entity
Organization
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
(213) 202-7118
Mailing address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
(213) 202-7118
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30471F
—
CA
Enumeration date
08/26/2005
Last updated
07/26/2021
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