Organization
GARDENA PHYSICIANS HOSPITAL, INC.
Active
Other names
Community Hospital of Gardena
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SMITH (PRESIDENT)
(714) 488-3188
Entity
Organization
Contact information
Practice address
1246 W 155TH ST, GARDENA, CA 90247-4011
(310) 768-2235
(310) 768-2265
Mailing address
1300 W 155TH ST STE 102, GARDENA, CA 90247-4049
(714) 488-3188
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
314000000X
Skilled Nursing Facility
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555525
MEDICARE SNF
CA
05
—
HSP30456H
—
CA
05
—
HSP40456H
—
CA
Enumeration date
11/09/2006
Last updated
10/19/2007
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