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Organization
TUSTIN HOSPITAL AND MEDICAL CENTER
Active
Organization
TUSTIN HOSPITAL AND MEDICAL CENTER
Active
Other names
Newport Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLARA RUTH BLOM IX (VP/HOSPITAL CFO)
(310) 463-8273
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVENUE, TUSTIN, CA 92780
(714) 619-7700
(949) 732-4671
Mailing address
14662 NEWPORT AVENUE, TUSTIN, CA 92780
(714) 619-7700
(949) 732-4671
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC40006F
—
CA
Enumeration date
11/22/2006
Last updated
12/20/2010
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