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1689531832 NPI number — EASY LIVING @ MIRA MESA

NPI Number: 1689531832
Health Care Provider/Practitioner: EASY LIVING @ MIRA MESA

Information about “1689531832” NPI (EASY LIVING @ MIRA MESA) exists in 1689531832 in HTML format HTML  |  1689531832 in plain Text format TXT  |  1689531832 in PDF (Portable Document Format) PDF  |  1689531832 in an XML format XML  formats.

NPI Number : 1689531832 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689531832",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EASY LIVING @ MIRA MESA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10136 ZAPATA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92126-1124",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-663-2425",
    "MailingAddressFaxNumber": "858-430-5555",
    "FirstLinePracticeLocationAddress": "10136 ZAPATA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92126-1124",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-663-2425",
    "PracticeLocationAddressFaxNumber": "858-430-5555",
    "EnumerationDate": "01/08/2026",
    "LastUpdateDate": "01/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CALCETAS",
    "AuthorizedOfficialFirstName": "DANILO",
    "AuthorizedOfficialMiddleName": "CASINTAHAN",
    "AuthorizedOfficialTitle": "LICENSEE ADMINISTRATOR CAREGIVER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LICENSEE",
    "AuthorizedOfficialTelephoneNumber": "858-663-2425",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3104A0630X",
        "TaxonomyName": "Assisted Living Facility (Behavioral Disturbances)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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