| Fountain Valley Regional Hospital | |
|
17100 Euclid St Fountain Valley CA 92708-4004 | |
| (714) 966-7200 | |
| Not Available |
| Full Name | Fountain Valley Regional Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 17100 Euclid St, Fountain Valley, California |
| Authorized Official Name and Position | Jessica Hanly (CFO) |
| Authorized Official Contact | 7149668089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Valley Regional Hospital File 57545 Los Angeles CA 90074-0001 Ph: (626) 300-4122 | Fountain Valley Regional Hospital 17100 Euclid St Fountain Valley CA 92708-4004 Ph: (714) 966-7200 |
| NPI Number | 1518995505 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518995505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 06000109 (California) | Primary |
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