# SENIOR COAST LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Injury Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104363795
- **Authorized official:** MS. ELIANNA Z. REUBEN (CEO)
- **Authorized official phone:** (949) 244-9405

## Contact information

- **Practice address:** 8780 ELDEN STREET, LA MESA, CA 91942-3211
- **Practice address phone:** (949) 244-9405
- **Mailing address:** 8780 ELDEN STREET, LA MESA, CA 91942-3211
- **Mailing address phone:** (858) 946-3100
- **Mailing address fax:** (619) 432-6723

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 01/31/2022