Organization
WHITE MEMORIAL MEDICAL CENTER
Active
Organization
WHITE MEMORIAL MEDICAL CENTER
Active
Parent organization
WHITE MEMORIAL MEDICAL CENTER
Other names
Adventist Health White Memorial
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE MEMORIAL MEDICAL CENTER
Authorized official
MR. JOHN RAFFOUL (CFO)
(323) 268-5000
Entity
Organization
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
(323) 265-5070
Mailing address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
(323) 265-5070
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
930000195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55312F
—
CA
01
—
ZZZA1920Z
BLUE SHIELD
CA
Enumeration date
11/08/2005
Last updated
05/01/2018
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