# LINDA VISTA MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kearny Mesa Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619193729
- **Authorized official:** MRS. CAROLYN HEBBEL BA (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (858) 278-8121

## Contact information

- **Practice address:** 7675 FAMILY CIR, SAN DIEGO, CA 92111-5304
- **Practice address phone:** (858) 278-8121
- **Practice address fax:** (858) 278-8177
- **Mailing address:** 7675 FAMILY CIR, SAN DIEGO, CA 92111-5304
- **Mailing address phone:** (858) 278-8121
- **Mailing address fax:** (858) 278-8177

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05286F | — | CA |