# VISTA SPECIALTY HOSPITAL OF SOUTHERN CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Specialty Hospital of San Gabriel Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558369694
- **Authorized official:** MR. MARC FERRELL (REGIONAL VICE PRESIDENT)
- **Authorized official phone:** (626) 388-2700

## Contact information

- **Practice address:** 14148 FRANCISQUITO AVE, BALDWIN PARK, CA 91706-6120
- **Practice address phone:** (626) 388-2700
- **Practice address fax:** (626) 388-2720
- **Mailing address:** 14148 FRANCISQUITO AVE, BALDWIN PARK, CA 91706-6120
- **Mailing address phone:** (626) 388-2700
- **Mailing address fax:** (626) 388-2720

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 08/22/2020