Provider Demographics
NPI:1851368369
Name:BARLOW RESPIRATORY HOSPITAL
Entity Type:Organization
Organization Name:BARLOW RESPIRATORY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:ENGESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-202-6880
Mailing Address - Street 1:2000 STADIUM WAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2606
Mailing Address - Country:US
Mailing Address - Phone:213-250-4200
Mailing Address - Fax:213-202-6840
Practice Address - Street 1:2000 STADIUM WAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-2606
Practice Address - Country:US
Practice Address - Phone:213-250-4200
Practice Address - Fax:213-202-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9300011282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA052031Medicare ID - Type Unspecified