# MEK ESCONDIDO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Escondido Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588660765
- **Authorized official:** MR. FERNAN PEDRAJA (FINANCIAL CONTROLLER)
- **Authorized official phone:** (818) 247-6200

## Contact information

- **Practice address:** 421 E MISSION AVE, ESCONDIDO, CA 92025-1909
- **Practice address phone:** (760) 747-0430
- **Practice address fax:** (760) 747-0340
- **Mailing address:** 1506 S GLENDALE AVE, GLENDALE, CA 91205-3316
- **Mailing address phone:** (818) 247-6200
- **Mailing address fax:** (818) 247-7129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000019 | CA | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 04/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05D0566816 | CLIA ID NUMBER | CA |
| 05 | — | ZZT06040K | — | CA |