# PACIFICA SAKURA GARDENS ICF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sakura Intermediate Care Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245879709
- **Authorized official:** DEEPAK ISRANI (GENERAL MANAGER)
- **Authorized official phone:** (619) 296-9000

## Contact information

- **Practice address:** 325 S. BOYLE AVENUE, LOS ANGELES, CA 90033-3812
- **Practice address phone:** (323) 980-7530
- **Practice address fax:** (323) 263-2721
- **Mailing address:** 1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
- **Mailing address phone:** (619) 296-9000
- **Mailing address fax:** (619) 296-9090

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2020
- **Last updated:** 01/02/2020