Organization
VISTA HOSPITAL OF SOUTH BAY, LP
Active
Parent organization
VISTA HEALTHCARE, LLC
Other names
Vista Hospital of South Bay - Tri-City Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISTA HEALTHCARE, LLC
Authorized official
MR. MARC C. FERRELL (SENIOR VICE-PRESIDENT)
(909) 581-7272
Entity
Organization
Contact information
Practice address
21530 PIONEER BLVD, HAWAIIAN GARDENS, CA 90716-2608
(562) 860-4488
(562) 860-4489
Mailing address
1246 W 155TH ST, GARDENA, CA 90247-4011
(310) 323-5330
(310) 768-2265
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
930000037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP30456I
—
CA
05
—
HSP40456I
—
CA
Enumeration date
05/27/2010
Last updated
05/27/2010
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