NPI 1114864055

Yealem LLC Dba Mission Villa East, Mission Villa West

Organisation PACE Provider Organization San Diego, CA

Practice location

Address: 7241 Zest St, San Diego, CA 92139-1253
Phone: (619) 757-9519
Fax: (619) 757-9519

Authorised official

Name: Amsal Engdaw
Title: Managing Member
Phone: (619) 757-9519

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1114864055
Entity type: Organization
NPI issued: 29 Apr 2026
Record last updated: 29 Apr 2026

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.

Contact

(619) 757-9519 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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