COLLEGE VISTA, LLC

LOS ANGELES, CA
NPI1194195164
Doing Business AsCOLLEGE VISTA CONVALESCENT HOSPITAL
Entity TypeOrganization
Authorized ContactRICHARD RUSSAKOFF
VP Of Business Affairs
714-577-3880
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: CA  970000044)
Enumeration Date2015-10-02
Last Update Date2015-10-02
Business Address
COLLEGE VISTA, LLC
4681 NORTH EAGLE ROCK BLVD
LOS ANGELES, CA 90041
Phone number: 323-257-8151
Mailing Address
COLLEGE VISTA, LLC
3050 SATURN STREET STE 201
BREA, CA 92821
Phone number: 714-577-3880