Ag La Mesa, LLC
NPI #1457345001 in La Mesa, California
Provider Information
- NPI Number
- 1457345001
- Entity Type
- Organization
- Organization Name
- Ag La Mesa, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 8, 2005
- Last Updated
- Jul 21, 2014
Practice Location
- Address
- 5696 LAKE MURRAY BOULEVARD
- City
- La Mesa
- State
- California
- ZIP Code
- 91942
- Phone
- (619) 460-7871
Authorized Official
- Name
- MR. JACOB WINTNER
- Title
- MANAGER
- Phone
- (323) 651-1808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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