Provider Demographics
NPI:1124749924
Name:SABRA WEST COAST OPERATIONS I, LLC
Entity type:Organization
Organization Name:SABRA WEST COAST OPERATIONS I, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP, TREASURER, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-679-0398
Mailing Address - Street 1:18500 VON KARMAN AVE STE 550
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-0539
Mailing Address - Country:US
Mailing Address - Phone:949-679-0398
Mailing Address - Fax:949-679-8868
Practice Address - Street 1:12742 MONTE VISTA RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2524
Practice Address - Country:US
Practice Address - Phone:858-673-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility