Organization
VISTA PACIFICA ENTERPRISES INC.
Active
Other names
VISTA PACIFICA CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN ENGELAUF (ADMINISTRATOR)
(951) 682-4833
Entity
Organization
Contact information
Practice address
3674 PACIFIC AVE, RIVERSIDE, CA 92509-1948
(951) 682-4833
(951) 682-1503
Mailing address
3674 PACIFIC AVE, RIVERSIDE, CA 92509-1948
(951) 682-4833
(951) 682-1503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO5821J
—
CA
Enumeration date
11/09/2006
Last updated
05/01/2018
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