Organization
DIGNITY HEALTH
Active
Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
California Family Care Med Group, Women's Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
ROBERT ALLEN (CHIEF FINANCIAL OFFICER)
(213) 742-5910
Entity
Organization
Contact information
Practice address
1400 S GRAND AVE, SUITE 801, LOS ANGELES, CA 90015-3048
(213) 742-6200
(213) 765-4167
Mailing address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5910
(213) 765-4078
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954310407
IRS
CA
05
—
CMM71025F
—
CA
Enumeration date
12/20/2006
Last updated
09/23/2013
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