Organization · Type 2 NPI

CCW la Jolla, LLC

Skilled Nursing Facility · San Diego, CA

NPI number 1972574507 Active

Practice location

4171 Las Palmas Sq
San Diego, CA 92122-6627

Call (858) 646-3400 Map

Fax (858) 646-0064

Mailing address

233 S Wacker Dr Ste 8400
Chicago, IL 60606-6316

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	080000751 (CA)

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…

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About NPI 1972574507

CCW la Jolla, LLC's National Provider Identifier is 1972574507, issued on Jan 31, 2006. 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 Oct 24, 2025.