PH
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
NORTH HOLLYWOOD, CA
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1477647444
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDONALD ANDERSON
TitleASSISTANT SECRETARY FOR ENROLLMENT
Phone8189803872
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Source: NPI Registry · Last refreshed June 24, 2026