Organization
PLUMERIA CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SOBREPENA (DIRECTOR OF OPERATIONS)
(312) 952-0426
Entity
Organization
Contact information
Practice address
1285 BUENOS AVE, SAN DIEGO, CA 92110-3805
(858) 753-4062
Mailing address
1285 BUENOS AVE, SAN DIEGO, CA 92110-3805
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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