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Contact Information

SOUTH PACIFIC
16260 VENTURA BLVD
ENCINO, CA91364
 Phone: 818-986-1977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SOUTH PACIFIC

NPI Number 1013360676
LBN Legal business name SOUTH PACIFIC
Authorized official KAREN COBAIN - (PTA)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2016
Last updated 07/19/2016 - About 10 years ago
Identifiers
CA License # AT1195
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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