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General NPI Number Information
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NPI Number | 1235926825
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Entity Type | Organization
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Legal Business Name | VISTA SPECIALTY HOSPITAL OF CALIFORNIA, LLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 14900 IMPERIAL HWY
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City | LA MIRADA
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State | CA
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Zip | 90638-2172
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Country | US
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Telephone | 562-944-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S STATE COLLEGE BLVD UNIT 10212
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City | ANAHEIM
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State | CA
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Zip | 92806-4116
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Country | US
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Telephone | 562-453-7474
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Fax |
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Authorized Official
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Title or Position | VP & COO
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Name | SWENDA MOREH BEITPOULICE
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Credential |
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Telephone | 562-453-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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