Organization
SAN PEDRO PENINSULA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. 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
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050078
BLUE CROSS PROV#
CA
05
—
HSC30078F
—
CA
05
—
HSD30078F
—
CA
05
—
M050078
—
CA
05
—
ZZT30078F
—
CA
05
—
ZZT40078F
—
CA
01
—
ZZZA1925Z
BLUE SHIELD PROV#
CA
Enumeration date
07/22/2006
Last updated
04/27/2009
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