Organization
COVENANT CARE LA JOLLA, LLC
Active
Other names
La Jolla Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
2552 TORREY PINES RD, LA JOLLA, CA 92037-3432
(858) 453-5810
(858) 452-4301
Mailing address
2552 TORREY PINES RD, LA JOLLA, CA 92037-3432
(858) 453-5810
(858) 452-4301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206370779
OSHPD
CA
05
—
ZZT06017I
—
CA
Enumeration date
02/22/2007
Last updated
09/26/2013
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