Organization
PINECREST SENIOR VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (GENERAL MANAGER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
1808 SE 182ND AVE, PORTLAND, OR 97233-5120
(503) 465-4425
Mailing address
1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110-2036
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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