NPI 1003198342
La Jolla Skilled LLC
Practice location
- Address
- 3884 Nobel Drive, San Diego, CA 92122-5700
- Phone
- (858) 625-8700
- Fax
- (858) 625-8777
Authorised official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003198342
- Entity type
- Organization
- NPI issued
- 13 Sep 2011
- Record last updated
- 7 Sep 2023
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.