# PACIFICA LINDA MAR INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LINDA MAR CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003891516
- **Authorized official:** MARC JOHNSON (CFO)
- **Authorized official phone:** (949) 373-8373

## Contact information

- **Practice address:** 751 SAN PEDRO TERRACE RD, PACIFICA, CA 94044-4101
- **Practice address phone:** (650) 359-4800
- **Mailing address:** 25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
- **Mailing address phone:** (949) 441-9258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000095 | CA | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 04/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05116K | — | CA |