OrganizationTustin Hospital And Medical CenterLong Term Care HospitalHospitalsPractice Address14662 Newport Ave, Tustin, CA 92780-6064(714) 669-5874PECOS EnrollmentBased on the most recent information from CMS, provider Tustin Hospital And Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1811059223Provider TypeOrganizationFull NameTustin Hospital And Medical CenterSubpartNoEnumeration Date12/14/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address14662 Newport Ave, Tustin, CA 92780-6064Phone(714) 669-5874FaxUnlisted FaxMailing LocationMailing Address14662 Newport Ave, Tustin, CA 92780-6064Phone(714) 669-5874FaxUnlisted FaxAuthorized OfficialNameAhdab, Aiman (Pharmacy Director)Phone(714) 669-5874Provider TaxonomiesCodeDescriptionLicenseCode282E00000XDescriptionLong Term Care HospitalHospitalsLicenseHSP43375CaliforniaCode282N00000XDescriptionGeneral Acute Care HospitalHospitalsLicenseHSP43375CaliforniaProvider IdentifiersIDDescriptionIssuerIDPHB433750DescriptionMedicaidIssuerUnlistedCalifornia