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Contact Information

LINDA MAR CARE CENTER
LBN PACIFICA LINDA MAR INC.
751 SAN PEDRO TERRACE RD
PACIFICA, CA94044
 Phone: 650-359-4800
 Fax: 650-359-6030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LINDA MAR CARE CENTER

NPI Number 1003891516
LBN Legal business name PACIFICA LINDA MAR INC.
DBA Doing business as LINDA MAR CARE CENTER
Authorized official MARC JOHNSON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2005
Last updated 04/05/2024 - About 2 years ago
Identifiers
CA License # 220000095
CA Medicaid ZZR05116K
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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