Organization
RB SENIOR RESIDENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AZILA S ORTIZ (ADMINISTRATOR)
(858) 366-8787
Entity
Organization
Contact information
Practice address
15260 AMALIA ST, SAN DIEGO, CA 92129-1228
(858) 366-8787
(858) 324-1783
Mailing address
15260 AMALIA ST, SAN DIEGO, CA 92129-1228
(858) 366-8787
(858) 324-1783
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
374602950
CA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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