Organization · Type 2 NPI

College Vista, LLC

Skilled Nursing Facility · Los Angeles, CA

NPI number 1194195164 Active

Practice location

4681 North Eagle Rock Blvd
Los Angeles, CA 90041

Fax (323) 257-2187

Mailing address

3050 Saturn St Ste 201
Brea, CA 92821-6278

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X970000044 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1194195164

College Vista, LLC's National Provider Identifier is 1194195164, issued on Oct 2, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 23, 2026.