Organization
81 HOME HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIMINO M LOPEZ JR. (CFO)
(562) 320-0456
Entity
Organization
Contact information
Practice address
14442 WHITTIER BLVD, #101, WHITTIER, CA 90605-2107
(562) 320-0456
(562) 320-0457
Mailing address
14442 WHITTIER BLVD, #101, WHITTIER, CA 90605-2107
(562) 320-0456
(562) 320-0457
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
CA
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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