Organization
TUSTIN HOSPITAL AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNELL RICHARD (ASST. DIRECTOR OF PFS)
(714) 669-5832
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(714) 669-5832
(714) 669-5986
Mailing address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(714) 669-5832
(714) 669-5986
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
052053
CA
Other
Enumeration date
12/03/2008
Last updated
01/08/2009
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