Healthcare Provider Details

I. General information

NPI: 1831164797
Provider Name (Legal Business Name): TRI-CITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 VISTA WAY
OCEANSIDE CA
92056-4506
US

IV. Provider business mailing address

4002 VISTA WAY
OCEANSIDE CA
92056-4506
US

V. Phone/Fax

Practice location:
  • Phone: 760-724-8411
  • Fax:
Mailing address:
  • Phone: 760-724-8411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number080000099
License Number StateCA

VIII. Authorized Official

Name: JANICE GURLEY
Title or Position: FORMER CFO
Credential:
Phone: 760-940-5605