Healthcare Provider Details

I. General information

NPI: 1639518004
Provider Name (Legal Business Name): ESCONDIDO OPERATIONS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 06/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E VALLEY PKWY
ESCONDIDO CA
92025-3054
US

IV. Provider business mailing address

7660 FAY AVE STE N
LA JOLLA CA
92037-4875
US

V. Phone/Fax

Practice location:
  • Phone: 760-737-5110
  • Fax: 760-737-2439
Mailing address:
  • Phone: 858-729-6720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ANDY PLANT
Title or Position: GENERAL PARTNER
Credential:
Phone: 858-729-6720