Organization
TUSTIN HOSPITAL AND MEDICAL CENTER
Active
Other names
Newport Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLARA RUTH BLOM IX (VP/HOSPITAL CFO)
(310) 463-8273
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVENUE, TUSTIN, CA 92780
(714) 619-7700
(949) 732-4671
Mailing address
14662 NEWPORT AVENUE, TUSTIN, CA 92780
(714) 619-7700
(949) 732-4671
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC40006F
—
CA
Enumeration date
11/22/2006
Last updated
12/20/2010
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