Organization
PARADISE VALLEY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R FOLL (CFO)
(619) 470-4110
Entity
Organization
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0090000086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30024F
—
CA
05
—
HSM30024F
—
CA
05
—
ZZT30024F
—
CA
05
—
ZZT40024F
—
CA
Enumeration date
11/04/2005
Last updated
08/22/2020
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