PH
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SAN PEDRO, CA
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1770639809
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDONALD ANDERSON
TitleASSISTANT SECRETARY ENROLLMENTS
Contact info is locked.
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your contact visible to families.
✓ Is this you? Claim your profile
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your contact visible to families.
✓ Is this you? Claim your profile