Organization
A-1 DOMESTIC PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZETTE DOMINGUEZ DAGDAGAN (PRESIDENT)
(562) 929-8400
Entity
Organization
Contact information
Practice address
12631 IMPERIAL HWY, SUITE F-104, SANTA FE SPRINGS, CA 90670-4710
(562) 929-8400
(888) 813-3646
Mailing address
12631 IMPERIAL HWY, SUITE F-104, SANTA FE SPRINGS, CA 90670-4710
(562) 929-8400
(888) 813-3646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0408-12631F104A
CA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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