Organization
PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC
Active
Other names
Sherman Oaks Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PREM REDDY MD, FACC, FCCP (CHAIRMAN/PRES/CEO)
(909) 235-4400
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD., SHERMAN OAKS, CA 91403-1702
(818) 981-7111
(818) 501-6430
Mailing address
3300 E GUASTI RD, 3RD FLOOR, ONTARIO, CA 91761-8655
(909) 235-4400
(909) 235-4419
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC301141
—
CA
05
—
HSC30114I
—
CA
05
—
HSP301141
—
CA
05
—
HSP30114I
—
CA
05
—
HSP401141
—
CA
05
—
HSP40114I
—
CA
01
—
ZZZA1966Z
BLUE SHIELD
CA
Enumeration date
08/30/2006
Last updated
01/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us