Organization
PACIFICA SL PENASQUITOS LP
Active
Organization
PACIFICA SL PENASQUITOS LP
Active
Other names
Pacifica Senior Living Rancho Penasquitos
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (GENERAL MANAGER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
12979 RANCHO PENASQUITOS BLVD, SAN DIEGO, CA 92129-2922
(858) 538-0802
Mailing address
12979 RANCHO PENASQUITOS BLVD, SAN DIEGO, CA 92129-2922
(858) 538-0802
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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