Provider Demographics
NPI:1528054632
Name:VERDUGO HILLS HOSPITAL
Entity type:Organization
Organization Name:VERDUGO HILLS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-790-7100
Mailing Address - Street 1:1812 VERDUGO BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1407
Mailing Address - Country:US
Mailing Address - Phone:818-790-7100
Mailing Address - Fax:818-790-5269
Practice Address - Street 1:1812 VERDUGO BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1409
Practice Address - Country:US
Practice Address - Phone:818-790-7100
Practice Address - Fax:818-790-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA930000173282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSM30124GOtherMEDI-CAL
CAZZT40124GOtherMEDI-CAL
CAHHA57407FOtherMED-CAL
CAHSC30124GOtherMEDI-CAL
CA05S124Medicare Oscar/Certification
CAHSC30124GOtherMEDI-CAL
CAHSM30124GOtherMEDI-CAL
CA050124Medicare Oscar/Certification