Organization
COLLEGE VISTA, LLC
Active
Other names
College Vista Post-Acute, College Vista Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN DEHGHANMANESH (CFO)
(714) 577-3880
Entity
Organization
Contact information
Practice address
4681 NORTH EAGLE ROCK BLVD, LOS ANGELES, CA 90041
(323) 257-8151
(323) 257-2187
Mailing address
3050 SATURN ST STE 201, BREA, CA 92821-6278
(714) 577-3880
(714) 577-3895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000044
CA
Other
Enumeration date
10/02/2015
Last updated
03/23/2026
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