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Organization
POMERADO OPERATIONS, LLC
Active
Organization
POMERADO OPERATIONS, LLC
Active
Other names
Boulder Creek Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
LELEAND BRUCE (EXECUTIVE VICE PRESIDENT)
(949) 220-2000
Entity
Organization
Contact information
Practice address
12696 MONTE VISTA RD, POWAY, CA 92064-2500
(858) 487-6242
(858) 487-4282
Mailing address
114 PACIFICA, SUITE 230, IRVINE, CA 92618
(858) 487-6242
(858) 487-4282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
01/20/2015
Last updated
01/03/2017
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