Basic Information
Provider Information
NPI: 1619936440
EntityType: 2
ReplacementNPI:  
OrganizationName: CFHS HOLDINGS, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: CENTINELA FREEMAN REGIONAL MEDICAL CENTER, CENTINELA CAMPUS
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 555 E HARDY ST
Address2:  
City: INGLEWOOD
State: CA
PostalCode: 903014011
CountryCode: US
TelephoneNumber: 3106801488
FaxNumber: 3106770535
Practice Location
Address1: 555 E HARDY ST
Address2:  
City: INGLEWOOD
State: CA
PostalCode: 903014011
CountryCode: US
TelephoneNumber: 3106734660
FaxNumber: 3106770535
Other Information
ProviderEnumerationDate: 03/21/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: REMBIS
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 3106808092
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X CAY HospitalsGeneral Acute Care Hospital 

ID Information
IDTypeStateIssuerDescription
HSC30240H05CA MEDICAID
ZZT30240H05CA MEDICAID
ZZT40240H05CA MEDICAID


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