Organization
AVANTGARDE SENIOR LIVING OF LA JOLLA
Active
Organization
AVANTGARDE SENIOR LIVING OF LA JOLLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ADELMAN (PRESIDENT/ CEO)
(818) 692-5284
Entity
Organization
Contact information
Practice address
6211 LA JOLLA HERMOSA AVE, LA JOLLA, CA 92037-6736
(858) 456-8619
(818) 881-0180
Mailing address
1420 ABBOT KINNEY BLVD, VENICE, CA 90291-3741
(818) 692-5284
(818) 881-0180
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374604261
RCFE FACILITY LICENSE
CA
Enumeration date
11/30/2021
Last updated
11/30/2021
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