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La Jolla Skilled LLC

Skilled Nursing Facility in San Diego, CA. Organization (NPI-2).

NPI number1003198342
StatusActive
Last updated in NPPESSep 7, 2023

Details

NPI
1003198342
Entity type
Organization (NPI-2)
Legal business name
La Jolla Skilled LLC
Organization subpart
No
Enumeration date
Sep 13, 2011
Certification date
Sep 7, 2023
Last updated
Sep 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility–CAYes

Other names

  • The Springs At Pacific Regent La Jolla (Doing Business As)

Practice location

3884 Nobel Drive
San Diego, CA 92122-5700

Phone 858-625-8700 · Fax 858-625-8777

Mailing address

3884 Nobel Drive
San Diego, CA 92122-5700

Phone 858-625-8700 · Fax 858-625-8777

Authorized official

Soon Burnam
Treasurer
9495401249

Is something wrong?

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