# VISTA WOODS HEALTH ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Knoll Specialized Care Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275533929
- **Authorized official:** MS. SOON BURNAM (AUTHORIZED AGENT)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 2000 WESTWOOD RD, VISTA, CA 92083-5123
- **Practice address phone:** (760) 630-2273
- **Practice address fax:** (760) 630-0913
- **Mailing address:** 2000 WESTWOOD RD, VISTA, CA 92083-5123
- **Mailing address phone:** (760) 630-2273
- **Mailing address fax:** (760) 630-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000353 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 02/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC555425H | — | CA |
