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Pacific Grove Hospital

General Acute Care Hospital in Riverside, CA. Organization (NPI-2).

NPI number1164896403
StatusActive
Last updated in NPPESNov 24, 2015

Details

NPI
1164896403
Entity type
Organization (NPI-2)
Legal business name
Pacific Grove Hospital
Organization subpart
Yes
Enumeration date
Nov 24, 2015
Last updated
Nov 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital––Yes

Practice location

5900 Brockton Ave
Riverside, CA 92506-1862

Phone 800-992-0901

Mailing address

Po Box 31001-2130
Pasadena, CA 91110-2130

Phone 213-412-1973 · Fax 213-412-1981

Authorized official

John Heydt
Chief Executive Oficer
7144562986

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