# ALTA LOS ANGELES HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOS ANGELES HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114132685
- **Authorized official:** ROBERT JON ELDERS (SECRETARY)
- **Authorized official phone:** (714) 788-1249

## Contact information

- **Practice address:** 4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
- **Practice address phone:** (323) 881-2600
- **Practice address fax:** (323) 261-0809
- **Mailing address:** 4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
- **Mailing address phone:** (323) 881-2600
- **Mailing address fax:** (323) 261-0809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 930000039 | CA | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 02/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70086F | — | CA |