# COLLEGE VISTA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Vista Post-Acute, College Vista Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194195164
- **Authorized official:** ADRIAN DEHGHANMANESH (CFO)
- **Authorized official phone:** (714) 577-3880

## Contact information

- **Practice address:** 4681 NORTH EAGLE ROCK BLVD, LOS ANGELES, CA 90041
- **Practice address phone:** (323) 257-8151
- **Practice address fax:** (323) 257-2187
- **Mailing address:** 3050 SATURN ST STE 201, BREA, CA 92821-6278
- **Mailing address phone:** (714) 577-3880
- **Mailing address fax:** (714) 577-3895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000044 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2015
- **Last updated:** 03/23/2026