Organization · Type 2 NPI

Yealem LLC dba Mission Villa East, Mission Villa West

PACE Provider Organization · San Diego, CA

NPI number 1114864055 Active

Practice location

7241 Zest St
San Diego, CA 92139-1253

Fax (619) 757-9519

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone listed

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

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About NPI 1114864055

Yealem LLC dba Mission Villa East, Mission Villa West's National Provider Identifier is 1114864055, issued on Apr 29, 2026. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 29, 2026.