Organization
PACIFIC ADHC INC.
Active
Other names
Pacific ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAE WANG KIM (CEO)
(818) 776-8700
Entity
Organization
Contact information
Practice address
16861 PARTHENIA ST, NORTHRIDGE, CA 91343-4539
(818) 776-8700
(818) 776-8789
Mailing address
16861 PARTHENIA ST, NORTHRIDGE, CA 91343-4539
(818) 776-8700
(818) 776-8789
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000692
CA
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADV70259G
—
CA
Enumeration date
08/10/2007
Last updated
05/06/2024
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