# POINT LOMA CONVALESCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528055787
- **Authorized official:** KITTY TEEL (OPERATIONS MANAGER)
- **Authorized official phone:** (619) 224-4141

## Contact information

- **Practice address:** 3202 DUKE ST, SAN DIEGO, CA 92110-5401
- **Practice address phone:** (619) 224-4141
- **Practice address fax:** (619) 224-1328
- **Mailing address:** 3202 DUKE ST, SAN DIEGO, CA 92110-5401
- **Mailing address phone:** (619) 224-4141
- **Mailing address fax:** (619) 224-1328

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4365879-8 | STATE TAX I.D. | CA |
| 05 | — | ZZTO5322H | — | CA |