Organization
UNITED CARE PROVIDERS-HOLY INFANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLFO J FESTEJO (VP/CFO)
(818) 802-6303
Entity
Organization
Contact information
Practice address
4710 KENMORE AVE, BALDWIN PARK, CA 91706-2309
(626) 962-8568
(626) 962-2444
Mailing address
18409 DANCY ST, ROWLAND HEIGHTS, CA 91748-4755
(626) 962-8568
(626) 962-2444
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
96000054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80016F
—
CA
Enumeration date
01/28/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us