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Organization
ALTA NEWPORT HOSPITAL, LLC
Active
Organization
ALTA NEWPORT HOSPITAL, LLC
Active
Other names
Foothill Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(714) 619-7700
(714) 619-7724
Mailing address
3415 S SEPULVEDA BLVD FL 9, LOS ANGELES, CA 90034-6060
(310) 943-4500
(310) 943-4501
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
060000178
CA
Other
Enumeration date
01/14/2014
Last updated
12/22/2022
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