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Organization
WEST ESCONDIDO HEALTHCARE LLC
Active
Organization
WEST ESCONDIDO HEALTHCARE LLC
Active
Other names
Palomar Vista Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
201 NORTH FIG STREET, ESCONDIDO, CA 92025-3416
(760) 746-0303
(760) 738-1749
Mailing address
201 NORTH FIG STREET, ESCONDIDO, CA 92025-3416
(760) 746-0303
(760) 738-1749
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05067H
—
CA
Enumeration date
07/15/2005
Last updated
02/17/2021
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