Organization
WHITE MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RAFFOUL (PRESIDENT)
(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
273Y00000X
Rehabilitation Hospital Unit
Primary
930000195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050103
BLUE CROSS
CA
05
—
HSC30103F
—
CA
01
—
ZZZA1920Z
BLUE SHIELD
CA
Enumeration date
11/08/2005
Last updated
09/19/2025
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