NPI 1467657064
County of San Diego
Practice location
- Address
- 9065 Edegmoor Drive, Santee, CA 92071
- Phone
- (619) 956-2955
- Mailing address
- 12025 Calle de Leon APT 13, El Cajon, CA 92019-4900
Authorised official
- Name
- Delores Joan Leonard
- Title
- RN - Staff Nurse 2
- Phone
- (619) 670-1523
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1467657064
- Entity type
- Organization
- NPI issued
- 15 Jun 2007
- Record last updated
- 22 Aug 2020
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.