Organization
CCW LA JOLLA, LLC
Active
Other names
Vi at La Jolla Village
Organization subpart
No
Provider details
NPI number
Authorized official
TOMEK J KOSZYLKO (COUNSEL)
(312) 803-8443
Entity
Organization
Contact information
Practice address
8515 COSTA VERDE BLVD, SAN DIEGO, CA 92122-1130
(858) 646-7700
Mailing address
233 S WACKER DR STE 8400, CHICAGO, IL 60606-6316
(312) 803-8800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
10/24/2025
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