Organization
FAMILY ADULT DAY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE CHAVEZ (ADMINISTRATOR)
(310) 602-0123
Entity
Organization
Contact information
Practice address
2280 LOMITA BLVD, LOMITA, CA 90717-1436
(310) 602-0123
(310) 602-0124
Mailing address
2280 LOMITA BLVD, LOMITA, CA 90717-1436
(310) 602-0123
(310) 602-0124
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70272G
—
CA
Enumeration date
01/10/2007
Last updated
08/22/2020
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