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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