<Unavail>

LBN: Ccw La Jolla, Llc
<Unavail> is an health care organization with primary practice located at 4171 Las Palmas Sq , San Diego CA 92122-6627. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ccw La Jolla, Llc can be contacted via phone (858) 646-3400, or through Koszylko, Tomek J via phone (312) 803-8443.

Contact Information

Primary practice address
4171 Las Palmas Sq San Diego CA 92122-6627
Phone: (858) 646-3400
Fax: (858) 646-0064
Website:
Map and Directions
Authorized official contact:
Name: Koszylko, Tomek J
Phone: (312) 803-8443

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 080000751 California

Profile Details

NPI number 1972574507
LBN Legal business name Ccw La Jolla, Llc
DBA Doing business as <Unavail>
Authorized official Koszylko, Tomek J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 24th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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