| Providence Little Company Of Mary Medical Center San Pedro Obhc | |
|
1386 W 7th St # A San Pedro CA 90732-3517 | |
| (310) 241-4330 | |
| (310) 241-4342 |
| Full Name | Providence Little Company Of Mary Medical Center San Pedro Obhc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1386 W 7th St # A, San Pedro, California |
| Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT/DIR REIMB) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Little Company Of Mary Medical Center San Pedro Obhc Po Box 541024 Los Angeles CA 90054-1024 Ph: (310) 303-7496 | Providence Little Company Of Mary Medical Center San Pedro Obhc 1386 W 7th St # A San Pedro CA 90732-3517 Ph: (310) 241-4330 |
| NPI Number | 1497241541 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497241541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 930000142 (California) | Primary |
Borrowed Star Psychology Group, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1294 W 6th St, Suite 105, San Pedro, CA 90731 Phone: 310-902-6089 Fax: 310-988-2883 | |
Melissa F. Pedersen, Ma Mft Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 739 W 9th St, San Pedro, CA 90731 Phone: 310-801-8152 | |
Lily Psychological Consultation Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2183 W Paseo Del Mar, San Pedro, CA 90732 Phone: 415-273-9233 | |
Nlv Psychotherapy & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Harbor Blvd, San Pedro, CA 90731 Phone: 714-606-8483 | |
Lorin Odonnell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 W 9th St Ste 201, San Pedro, CA 90731 Phone: 310-748-4511 | |
La County Department Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6224 | |
Los Angeles County Department Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Ferry St, San Pedro, CA 90731 Phone: 213-947-6271 Fax: 213-351-2490 |