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Organization

COUNTY OF SAN DIEGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SOYOUNG PHAYMANY (RN)
(619) 956-2943
Entity
Organization

Contact information

Practice address
9065 EDGEMOOR DR, SANTEE, CA 92071-3037
(619) 956-2943
Mailing address
3227 45TH ST, SAN DIEGO, CA 92105-4305
(619) 277-0745

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
591207
CA

Other

Enumeration date
06/15/2007
Last updated
08/22/2020
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