# GHC OF KEARNY MESA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kearny Mesa Convalescent & Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275946568
- **Authorized official:** LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (714) 241-5600

## Contact information

- **Practice address:** 7675 FAMILY CIR, SAN DIEGO, CA 92111-5304
- **Practice address phone:** (858) 278-8121
- **Mailing address:** 7675 FAMILY CIR, SAN DIEGO, CA 92111-5304
- **Mailing address phone:** (858) 278-8121

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2014
- **Last updated:** 08/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1275946568 | — | CA |