# LUIS G CENDANA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** K AND S GROUP HOME 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942397161
- **Authorized official:** DIVINA PASAPORTE CENDANA (OWNER)
- **Authorized official phone:** (310) 634-9251

## Contact information

- **Practice address:** 1503 254TH ST, HARBOR CITY, CA 90710-2716
- **Practice address phone:** (310) 326-0374
- **Practice address fax:** (310) 517-4843
- **Mailing address:** 1503 254TH ST, HARBOR CITY, CA 90710-2716
- **Mailing address phone:** (310) 326-0374
- **Mailing address fax:** (310) 517-4843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 07/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 320600000X | — | CA |