TUSTIN HOSPITAL AND MEDICAL CENTER NPI 1043385982

NPI Information

TUSTIN HOSPITAL AND MEDICAL CENTER is a nursing care and pediatric skilled nursing facility in Tustin, CA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. TUSTIN HOSPITAL AND MEDICAL CENTER NPI is 1043385982. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Specialty Hospital.

The provider's business location address is:

14662 NEWPORT AVENUE
TUSTIN, CA
ZIP 92780
Phone: (714) 619-7700
Fax: (949) 732-4671

The provider's authorized official is Clara Ruth Blom .
The authorized official title is Vp/hospital Cfo and has the following contact phone number (310) 463-8273.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 12/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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