Organization
FONTANA ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO ZAMORANO (CFO)
(323) 276-8149
Entity
Organization
Contact information
Practice address
2309 DALY ST, LOS ANGELES, CA 90031-2230
(323) 276-8149
(323) 276-8143
Mailing address
2309 DALY ST, LOS ANGELES, CA 90031-2230
(323) 276-8149
(323) 276-8143
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70298F
—
CA
Enumeration date
12/01/2006
Last updated
01/17/2008
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