# ALTA NEWPORT HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043632938
- **Authorized official:** ROBERT JON ELDERS (SECRETARY)
- **Authorized official phone:** (714) 788-1249

## Contact information

- **Practice address:** 14662 NEWPORT AVE, TUSTIN, CA 92780-6064
- **Practice address phone:** (714) 619-7700
- **Practice address fax:** (714) 619-7724
- **Mailing address:** 3415 S SEPULVEDA BLVD FL 9, LOS ANGELES, CA 90034-6060
- **Mailing address phone:** (310) 943-4500
- **Mailing address fax:** (310) 943-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 060000178 | CA | Yes |

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 12/22/2022