Organization
GHC OF NEWPORT BEACH, LLC
Active
Other names
Newport Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
1555 SUPERIOR AVE, NEWPORT BEACH, CA 92663-3628
(949) 646-7764
(949) 574-5633
Mailing address
1555 SUPERIOR AVE, NEWPORT BEACH, CA 92663-3628
(949) 646-7764
(949) 574-5633
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05518G
—
CA
Enumeration date
06/13/2005
Last updated
08/05/2024
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