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

Providence Little Co of Mary Hospital in San Pedro

Organization Community Health Registered Nurse · NPI 1023761715

Providence Little Co of Mary Hospital in San Pedro is a Community Health Registered Nurse in San Pedro, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1300 W 7th St
San Pedro, CA 90732-3505
Phone: (310) 514-5480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X

Record details

NPI number1023761715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arnulfo Fernandez — Pet Team · (310) 514-5480
NPI enumeratedFebruary 2, 2022
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022
Mailing address1018 8th St, Hermosa Beach, CA 90254-4311