# POMERADO OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boulder Creek Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073902672
- **Authorized official:** LELEAND BRUCE (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (949) 220-2000

## Contact information

- **Practice address:** 12696 MONTE VISTA RD, POWAY, CA 92064-2500
- **Practice address phone:** (858) 487-6242
- **Practice address fax:** (858) 487-4282
- **Mailing address:** 114 PACIFICA, SUITE 230, IRVINE, CA 92618
- **Mailing address phone:** (858) 487-6242
- **Mailing address fax:** (858) 487-4282

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/03/2017