| scc_num | center_name | scc_type | scc_effective_date | facility_status | most_recent_review_date | county | npi | provider_name | business_name | address_line_1 | address_line_2 | city | state | zip_code | phone |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7.13.41 | Queen of The Valley Hospital | Community Neonatal Intensive Care Unit | 2/8/2007 | Full | None | Los Angeles | 1063441293 | Emanate Health Medical | Emanate Health Queen of The | 1115 S Sunset Avenue | None | West Covina | CA | 91790-3940 | (626) 962-4011 |