| NPI | 1194195164 |
|---|---|
| Doing Business As | COLLEGE VISTA CONVALESCENT HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD RUSSAKOFF VP Of Business Affairs 714-577-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000044) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |