Organization · Type 2 NPI

La Jolla Skilled LLC

Skilled Nursing Facility · San Diego, CA

NPI number 1003198342 Active

Practice location

3884 Nobel Drive
San Diego, CA 92122-5700

Fax (858) 625-8777

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

Another provider at this address

Matthew Gerard Scott, D.P.T.Physical Therapist San Diego, CA NPI 1639348295

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NPI record

NPI: 1003198342
Entity type: Organization (Type 2)
Issued: Sep 13, 2011
Last updated: Sep 7, 2023
Status: Active

Other names

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The Springs at Pacific Regent la Jolla · doing business as
The Springs at Pacific Regent la Jolla · doing business as

Authorized official

Ms. Soon Burnam
Treasurer
(949) 540-1249

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003198342

La Jolla Skilled LLC's National Provider Identifier is 1003198342, issued on Sep 13, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in San Diego, CA. The record was last updated on Sep 7, 2023.