Organization Name: | SAN FERNANDO COMMUNITY HOSPITAL |
NPI Number: | 1245669555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUDREY L. SIMONS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 732 Mott St Suite 100 San Fernando |
State: | CA US |
Postal Code: | 913404237 |
Phone Number: | 8189635690 |
Fax Number: | 8183650726 |
NPI Enumeration Date: | 11/06/2013 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |