Organization
GOLDEN AGE ADHC LLC
Active
Organization
GOLDEN AGE ADHC LLC
Active
Other names
Inland Empire Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIPUL KORAT (ADMINISTRATOR)
(951) 808-9600
Entity
Organization
Contact information
Practice address
135 N MCKINLEY ST, CORONA, CA 92879-6566
(951) 808-9600
(951) 821-7337
Mailing address
135 N MCKINLEY ST, CORONA, CA 92879-6566
(951) 808-9600
(951) 808-9178
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70360F
—
CA
01
—
CMCSUBKA9
MEDI-CAL BILLING ID
CA
Enumeration date
05/21/2007
Last updated
03/01/2025
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