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Organization

ANGEL ADHC, INC

Active
Other names
ANGEL ADULT DAY HEALTH CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KOOM SOUN SON RN (OWNER)
(213) 745-4290
Entity
Organization

Contact information

Practice address
1417 W WASHINGTON BLVD, LOS ANGELES, CA 90007-1236
(213) 745-4290
(213) 745-4297
Mailing address
1417 W WASHINGTON BLVD, LOS ANGELES, CA 90007-1236
(213) 745-4290
(213) 745-4297

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADU70268F
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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