Provider Demographics
NPI:1841031721
Name:R.A.C. YORBA LINDA, LP
Entity type:Organization
Organization Name:R.A.C. YORBA LINDA, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CEO OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:MORIARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-565-4424
Mailing Address - Street 1:9619 CHESAPEAKE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1394
Mailing Address - Country:US
Mailing Address - Phone:858-565-4424
Mailing Address - Fax:
Practice Address - Street 1:4725 VALLEY VIEW AVE
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3251
Practice Address - Country:US
Practice Address - Phone:714-577-8005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)