Organization
PACIFICA OF THE VALLEY CORPORATION
Active
Other names
Pacifica Hospital of the Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WATKINS (CFO)
(818) 252-2196
Entity
Organization
Contact information
Practice address
9449 SAN FERNANDO ROAD, SUN VALLEY, CA 91352
(818) 767-3310
(818) 252-2291
Mailing address
9449 SAN FERNANDO ROAD, SUN VALLEY, CA 91352
(818) 767-3310
(818) 252-2291
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807230
MEDI-CAL PROV PSYCH PIN
—
01
—
2887230
MEDI-CAL PROV TIC PIN
—
01
—
8947230
MEDI-CAL IP-X-OVER PIN
—
01
—
9747230
MEDI-CAL PROV ACUTE PIN
—
01
—
9927230
MEDI-CAL PROV OUTPATIENT
—
05
—
HSM30378H
—
CA
05
—
HST30378H
—
CA
05
—
LTC40005F
—
CA
05
—
LTC55217G
—
CA
05
—
LTC70026G
—
CA
05
—
PHV421380
—
CA
01
—
ZZA2008Z
BLUE SHIELD PROVIDER
—
05
—
ZZT30378H
—
CA
05
—
ZZT40378H
—
CA
Enumeration date
08/09/2006
Last updated
06/03/2008
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