# CLOISTERS OF LA JOLLA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shea Family Care La Jolla
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386657054
- **Authorized official:** MS. MARY PATRICIA MILLER 6194418771 (CHIEF LEGAL COUNSEL)
- **Authorized official phone:** (619) 441-8771

## Contact information

- **Practice address:** 7160 FAY AVE, LA JOLLA, CA 92037-5511
- **Practice address phone:** (858) 459-4361
- **Practice address fax:** (858) 459-1386
- **Mailing address:** 7160 FAY AVE, LA JOLLA, CA 92037-5511
- **Mailing address phone:** (858) 459-4361
- **Mailing address fax:** (858) 459-1386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000031 | CA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 12/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2039040 | — | CA |