Organization
ARCHANGEL HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYUNG (DANIEL) SIK SUH (CEO)
(562) 861-7047
Entity
Organization
Contact information
Practice address
16446 WOODRUFF AVE STE A, SUITE A, BELLFLOWER, CA 90706-4975
(562) 861-7047
(562) 861-7069
Mailing address
16446 WOODRUFF AVE STE A, SUITE A, BELLFLOWER, CA 90706-4975
(562) 861-7047
(562) 861-7069
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760699144
MEDI-CAL PROV#
CA
01
—
550000586
CDPH
—
Enumeration date
05/17/2007
Last updated
02/17/2023
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