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General NPI Number Information
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NPI Number | 1356093603
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Entity Type | Organization
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Legal Business Name | LOS ROBLES HEALTHCARE LLC
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 700 LA TERRAZA BLVD STE 212A
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City | ESCONDIDO
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State | CA
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Zip | 92025-3868
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Country | US
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Telephone | 858-487-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 1881 W TRAVERSE PARKWAY SUITE E#112
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City | LEHI
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State | UT
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Zip | 84048-6029
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | STEVE BURNINGHAM
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Credential |
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Telephone | 415-845-3213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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