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Ccw La Jolla, LLC

Skilled Nursing Facility in San Diego, CA · enumerated 2006 · authorized official Tomek Koszylko, Counsel.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972574507

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Registry record

Entity type Organization (Type 2)
Legal business name Ccw La Jolla, LLC
Other name <Unavail>
Practice address 4171 Las Palmas Sq, San Diego, CA, 92122
Phone (858) 646-3400
Fax (858) 646-0064
Enumeration date Jan 31, 2006
Last updated in NPPES Oct 24, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 080000751 (CA) Primary

Authorized official

Name Tomek Koszylko
Title Counsel
Phone (312) 803-8443

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Ccw La Jolla, LLC?
NPPES lists Tomek Koszylko (Counsel) as the authorized official for this organization.
What is the NPI number for Ccw La Jolla, LLC?
The NPI for Ccw La Jolla, LLC is 1972574507, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-24.