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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