Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ccw La Jolla, LLC

Organization Assisted Living Facility · NPI 1154881464

Ccw La Jolla, LLC is an Assisted Living Facility in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8515 Costa Verde Blvd
San Diego, CA 92122-1130
Phone: (858) 646-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1154881464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomek Koszylko — Counsel · (312) 803-8443
Other names Vi At La Jolla Village
NPI enumeratedMarch 22, 2019
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address233 S Wacker Dr Ste 8400, Chicago, IL 60606-6316

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