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Organization

PACIFICA SL SCOTTSDALE LLC

Active
Other names
Scottsdale Village Square
Organization subpart
No

Provider details

NPI number
Authorized official
DEEPAK ISRANI (MANAGING PARTNER)
(619) 296-9000
Entity
Organization

Contact information

Practice address
2620 N. 68TH STREET, SCOTTSDALE, AZ 85257
(480) 946-6571
(480) 946-0082
Mailing address
1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
(619) 296-9000
(619) 296-9090

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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