Organization
CHA HOLLYWOOD MEDICAL CENTER, LP
Active
Other names
Hollywood Presbyterian Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH I RIVERS (PRESIDENT, CEO)
(323) 913-4914
Entity
Organization
Contact information
Practice address
1300 NORTH VERMONT AVE, LOS ANGELES, CA 90027
(213) 413-3000
(323) 660-7952
Mailing address
1300 NORTH VERMONT AVE., LOS ANGELES, CA 90027
(213) 413-3000
(323) 660-7952
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000067
CA
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30063H
—
CA
05
—
HSD30063F
—
CA
05
—
ZZT30063H
—
CA
05
—
ZZT40063H
—
CA
01
—
ZZZA1914A
BLUE SHIELD PROVIDER #
—
Enumeration date
07/12/2006
Last updated
04/17/2014
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