Provider Demographics
NPI:1679759815
Name:HUNTINGTON HOSPITAL
Entity Type:Organization
Organization Name:HUNTINGTON HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-397-5000
Mailing Address - Street 1:75 MARION AVE
Mailing Address - Street 2:2
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2044
Mailing Address - Country:US
Mailing Address - Phone:858-729-4590
Mailing Address - Fax:
Practice Address - Street 1:75 MARION AVE
Practice Address - Street 2:2
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2044
Practice Address - Country:US
Practice Address - Phone:858-729-4590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital