NPI 1003098906
Lifehouse San Diego Operations, LLC
Practice location
- Address
- 2828 Meadow Lark Dr, San Diego, CA 92123-2710
- Phone
- (858) 277-6460
- Mailing address
- 1000 Corporate Pointe Suite 100, Culver City, CA 90230-7690
Authorised official
- Name
- Tracy Clark
- Title
- Ceo
- Phone
- (310) 337-1929
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003098906
- Entity type
- Organization
- NPI issued
- 3 Dec 2007
- Record last updated
- 17 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.