RB SENIOR RESIDENCES
Managed Care Organizations at Amalia St, San Diego, CA

License number
California 374602950
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MS. AZILA S ORTIZ
Title: ADMINISTRATOR
Phone: (858) 366-8787
Address
Address
15260 Amalia St, San Diego, CA 92129
National Provider ID: 1902348527
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Rb Senior Residences, LLC

15260 Amalia St, San Diego, CA 92129

Registration:
Apr 29, 2014
State ID:
201412110141
Business type:
Domestic
Member:
Azila K. Ortiz (Member)

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