Organization
PACIFICA SIERRA VISTA LP
Active
Other names
Sierra Vista Independent and Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
13815 RODEO DR, VICTORVILLE, CA 92395-5600
(760) 243-2271
Mailing address
13815 RODEO DR, VICTORVILLE, CA 92395-5600
(760) 243-2271
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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