Organization · Type 2 NPI

Psalm 23 Assisted Living II

Assisted Living Facility · San Diego, CA

NPI number 1699650754 Active

Practice location

10176 Embassy Way
San Diego, CA 92126-3446

Call (858) 610-8455 Map

Fax (858) 544-6966

Mailing address

13536 Del Marino Ave
Poway, CA 92064-5008

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1699650754
Entity type: Organization (Type 2)
Issued: Aug 7, 2025
Last updated: Aug 7, 2025
Status: Active
Subpart: Yes of Psalm 23 Assisted Living LLC

Other names

Psalm 23 Assisted Living · doing business as
Psalm 23 Assisted Living II · doing business as

Authorized official

Iirma Gawaran Laconsay
President
(858) 610-8455

Verify this record

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 1699650754

Psalm 23 Assisted Living II's National Provider Identifier is 1699650754, issued on Aug 7, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Diego, CA. The record was last updated on Aug 7, 2025.