Organization
PIH HEALTH GOOD SAMARITAN HOSPITAL
Active
Other names
Good Samaritan Hospital, Good Samaritan Total Care Pharmacy
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
1245 WILSHIRE BLVD STE 201, LOS ANGELES, CA 90017-4812
(213) 977-4111
Mailing address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
07/27/2021
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