# 452 ASTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982027025
- **Authorized official:** TERESA HIGGINS (SENIOR ART)
- **Authorized official phone:** (951) 655-2751

## Contact information

- **Practice address:** 1444 CHARDONNAY PL, SAN JACINTO, CA 92582-4267
- **Practice address phone:** (951) 553-6962
- **Mailing address:** 1444 CHARDONNAY PL, SAN JACINTO, CA 92582-4267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 815107 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2014
- **Last updated:** 01/26/2014