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Organization
PACIFICA SL SCOTTSDALE LLC
Active
Organization
PACIFICA SL SCOTTSDALE LLC
Active
Other names
Scottsdale Village Square
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (MANAGING PARTNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
2620 N. 68TH STREET, SCOTTSDALE, AZ 85257
(480) 946-6571
(480) 946-0082
Mailing address
1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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