Healthcare Provider Details

I. General information

NPI: 1902479447
Provider Name (Legal Business Name): ANAHEIM COMMUNITY HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 W BALL RD
ANAHEIM CA
92804-3710
US

IV. Provider business mailing address

3350 W BALL RD
ANAHEIM CA
92804-3710
US

V. Phone/Fax

Practice location:
  • Phone: 248-905-5091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: HANA ATTAR
Title or Position: VP
Credential:
Phone: 248-839-5378