Organization
HUMANGOOD SOCAL
Active
Other names
White Sands Of La Jolla
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization
Contact information
Practice address
7450 OLIVETAS AVE, LA JOLLA, CA 92037
(858) 454-4201
(858) 450-5298
Mailing address
1900 HUNTINGTON DR, DUARTE, CA 91010-2694
(818) 247-0420
(949) 528-2434
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
080000109
CA
Other
Enumeration date
05/12/2008
Last updated
06/02/2025
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