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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