La Jolla Casa Fiesta, LLC
NPI #1316724792 in La Jolla, California
Provider Information
- NPI Number
- 1316724792
- Entity Type
- Organization
- Organization Name
- La Jolla Casa Fiesta, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 11, 2023
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- 5426 AVENIDA FIESTA
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-7202
- Phone
- (858) 245-3766
Authorized Official
- Name
- GUS FERNANDEZ
- Title
- EMPOYEE
- Phone
- (858) 245-3766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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