Organization
ANAHEIM GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLARA RUTH BLOM (VP/HOSPITAL CFO)
(310) 463-8273
Entity
Organization
Contact information
Practice address
3350 WEST BALL ROAD, ANAHEIM, CA 92804
(714) 947-5800
(949) 732-4671
Mailing address
3350 WEST BALL ROAD, ANAHEIM, CA 92804
(714) 947-5800
(949) 732-4671
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55756
—
CA
05
—
LTC70119F
—
CA
Enumeration date
09/29/2006
Last updated
12/20/2010
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