# PACIFIC GROVE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164896403
- **Legal business name:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Authorized official:** DR. JOHN HEYDT M.D. (CHIEF EXECUTIVE OFICER)
- **Authorized official phone:** (714) 456-2986

## Contact information

- **Practice address:** 5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
- **Practice address phone:** (800) 992-0901
- **Mailing address:** PO BOX 31001-2130, PASADENA, CA 91110-2130
- **Mailing address phone:** (213) 412-1973
- **Mailing address fax:** (213) 412-1981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2015
- **Last updated:** 11/24/2015