Organization
HEALTHSMART PACIFIC INC
Active
Other names
Pacific Hospital of Long Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CANEDO (CHIEF FINANCIAL OFFICER)
(562) 997-2414
Entity
Organization
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 595-1911
Mailing address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 595-1911
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
930000117
CA
282N00000X
General Acute Care Hospital
Primary
930000117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213381100
US DEPT OF LABOR
CA
05
—
HSC30277G
—
CA
05
—
HSD30277G
—
CA
05
—
HSM30277G
—
CA
05
—
LTC55264F
—
CA
05
—
LTC70011F
—
CA
05
—
ZZT30277G
—
CA
05
—
ZZT40277G
—
CA
Enumeration date
07/30/2006
Last updated
08/07/2008
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