Organization
PACIFICA SL HEMET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (MANAGING MEMBER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
1177 SOUTH PALM AVENUE, HEMET, CA 92543
(951) 216-3932
Mailing address
1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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