Organization
JC&C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LOUIS CARDENAS (PRESIDENT)
(323) 932-9777
Entity
Organization
Contact information
Practice address
5478 WILSHIRE BLVD, SUITE 202, LOS ANGELES, CA 90036-4229
(323) 932-9777
(323) 932-9779
Mailing address
5478 WILSHIRE BOULEVARD, SUITE 202, LOS ANGELES, CA 90036-4225
(323) 932-9777
(323) 932-9779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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