Organization
ALTA NEWPORT HOSPITAL, LLC
Active
Other names
Foothill Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(714) 619-7700
(714) 619-7724
Mailing address
3415 S SEPULVEDA BLVD FL 9, LOS ANGELES, CA 90034-6060
(310) 943-4500
(310) 943-4501
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
060000178
CA
Other
Enumeration date
01/14/2014
Last updated
12/22/2022
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