Organization
LA JOLLA CASA FIESTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS FERNANDEZ (EMPOYEE)
(858) 245-3766
Entity
Organization
Contact information
Practice address
5426 AVENIDA FIESTA, LA JOLLA, CA 92037-7202
(858) 245-3766
(858) 771-1231
Mailing address
991 LOMAS SANTA FE DR # C-357, SOLANA BEACH, CA 92075-2141
(858) 245-3766
(858) 771-1231
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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