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

Ccw La Jolla, LLC

Organization Skilled Nursing Facility · NPI 1972574507

Ccw La Jolla, LLC is a Skilled Nursing Facility in San Diego, California. Medicare rates this nursing home 5 out of 5. Licensed in California.

CMS rating
5 of 5
Licensed in
CA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

5 out of 5 — official nursing home rating from CMS Care Compare (CCN 555793)
Health inspection5.0 / 5
Staffing5.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

4171 Las Palmas Sq
San Diego, CA 92122-6627
Phone: (858) 646-3400
Fax: (858) 646-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 080000751 (CA)

Record details

NPI number1972574507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomek Koszylko — Counsel · (312) 803-8443
Other names Vi At La Jolla Village; Vi At La Jolla Village
NPI enumeratedJanuary 31, 2006
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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