NPIMap

Organization Active NPI

Harbor UCLA Medical Center

  • Psychiatric Hospital
  • Wilmington, CA
National Provider Identifier
1740359728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
269203 Issued in CA
Legal business name
HARBOR UCLA MEDICAL CENTER
Practice address
1456 Ronan Ave
Wilmington, CA 90744-2022
Phone
(310) 834-7301
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Martha Jean Gurrola, RN
Title
MHN.RN
Phone
(310) 222-5072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 269203 CA Primary

Addresses

Primary practice location

1456 Ronan Ave
Wilmington, CA 90744-2022

Mailing address

1456 Ronan Ave
Wilmington, CA 90744-2022
Phone (310) 834-7301

National Provider Directory

National Provider Directory
Tax ID family
Rancho Los Amigos Liver613 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740359728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 RONAN AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442022",
            "telephone_number": "310-834-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 RONAN AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442022",
            "telephone_number": "310-834-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR UCLA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GURROLA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MHN.RN",
        "authorized_official_telephone_number": "310-222-5072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "269203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.