Basic Information
| Provider Information | |||||||||
| NPI: | 1679863195 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CPH HOSPITAL PROPERTIES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 N SEPULVEDA BLVD | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | MANHATTAN BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902666861 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4242411550 | ||||||||
| FaxNumber: | 4242411551 | ||||||||
| Practice Location | |||||||||
| Address1: | 13100 STUDEBAKER RD | ||||||||
| Address2: | |||||||||
| City: | NORWALK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906502531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5628683751 | ||||||||
| FaxNumber: | 5628683198 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2011 | ||||||||
| LastUpdateDate: | 04/18/2011 | ||||||||
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| AuthorizedOfficialLastName: | MACPHERSON | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | P. | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4242411550 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.