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Organization
COSTA MESA HEALTHCARE INC.
Active
Organization
COSTA MESA HEALTHCARE INC.
Active
Other names
NEWPORT SUBACUTE HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH P AUSTRIA (CHIEF OPERATING OFFICER)
(323) 333-0509
Entity
Organization
Contact information
Practice address
2570 NEWPORT BLVD, COSTA MESA, CA 92627-1331
(949) 631-4282
(949) 631-8681
Mailing address
2570 NEWPORT BLVD, COSTA MESA, CA 92627-1331
(949) 631-4282
(949) 631-8681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
555751
CA
314000000X
Skilled Nursing Facility
LTC55751G
CA
314000000X
Skilled Nursing Facility
LTC70146G
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55751G
—
CA
05
—
LTC70146G
—
CA
Enumeration date
11/02/2006
Last updated
10/21/2015
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