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Organization
MEK ESCONDIDO, LLC
Active
Organization
MEK ESCONDIDO, LLC
Active
Other names
Escondido Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNAN PEDRAJA (FINANCIAL CONTROLLER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
421 E MISSION AVE, ESCONDIDO, CA 92025-1909
(760) 747-0430
(760) 747-0340
Mailing address
1506 S GLENDALE AVE, GLENDALE, CA 91205-3316
(818) 247-6200
(818) 247-7129
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0566816
CLIA ID NUMBER
CA
05
—
ZZT06040K
—
CA
Enumeration date
06/22/2005
Last updated
04/11/2016
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