OrganizationActive
Alta Newport Hospital, LLC
NPI 1689096406 · Pediatric Skilled Nursing Facility · Tustin, CA
Provider details
- NPI number
- 1689096406
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Robert Elders, Secretary
- License
- 060000178 (CA)
Practice location
14662 Newport Ave
Tustin, CA 92780-6064
Phone: (714) 619-7700
Fax: (714) 619-7724
Mailing address
3415 S Sepulveda Blvd Fl 9
Los Angeles, CA 90034-6060
Registry dates
- Enumerated
- 2014-01-14
- Last updated
- 2022-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.