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NPI Code Detail

MEDICARE: RB SENIOR RESIDENCES

MEDICARE: RB SENIOR RESIDENCES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider Organization374602950CA

General Provider Information

NPI Number : 1902348527
Entity Type Code : Organization
Provider Name (Legal Business Name) : RB SENIOR RESIDENCES
Provider Business Mailing Address
First Line : 15260 AMALIA ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-1228
Country : US
Telephone Number : 858-366-8787
Fax Number : 858-324-1783
Provider Business Practice Location Address
First Line : 15260 AMALIA ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-1228
Country : US
Telephone Number : 858-366-8787
Fax Number : 858-324-1783
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. AZILA S ORTIZ
Credential :
Telephone Number : 858-366-8787
Provider Enumeration Date : 11/14/2016
Last Update Date : 11/14/2016

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Directions to “RB SENIOR RESIDENCES ” Practice Location

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