Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health System - Southern California

Organization Community/Behavioral Health Agency · NPI 1497241541

Providence Health System - Southern California is a Community/Behavioral Health Agency in San Pedro, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1386 W 7th St # A
San Pedro, CA 90732-3517
Phone: (310) 241-4330
Fax: (310) 241-4342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 930000142 (CA)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1497241541
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health System - Southern Califorina
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Little Company Of Mary Medical Center San Pedro Obhc; Providence Little Company Of Mary Medical Center San Pedro Obhc
NPI enumeratedJuly 2, 2018
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing addressPo Box 541024, Los Angeles, CA 90054-1024

Other providers in San Pedro