Organization
ONEGENERATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH KANG (CFO/COO)
(818) 708-6373
Entity
Organization
Contact information
Practice address
17400 VICTORY BLVD, VAN NUYS, CA 91406
(818) 708-6625
(818) 708-6620
Mailing address
17400 VICTORY BLVD, VAN NUYS, CA 91406
(818) 708-6625
(818) 708-6620
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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