# LA JOLLA SKILLED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Springs at Pacific Regent La Jolla
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003198342
- **Authorized official:** MS. SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 3884 NOBEL DRIVE, SAN DIEGO, CA 92122-5700
- **Practice address phone:** (858) 625-8700
- **Practice address fax:** (858) 625-8777
- **Mailing address:** 3884 NOBEL DRIVE, SAN DIEGO, CA 92122-5700
- **Mailing address phone:** (858) 625-8700
- **Mailing address fax:** (858) 625-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 09/07/2023