Organization
SILVER PEAKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR JORDAN ESMAIL (MANAGING MEMBER)
(657) 955-4577
Entity
Organization
Contact information
Practice address
3780 KILROY AIRPORT WAY STE 200, LONG BEACH, CA 90806-2458
(855) 876-1466
(310) 803-9453
Mailing address
3780 KILROY AIRPORT WAY STE 200, LONG BEACH, CA 90806-2458
(855) 876-1466
(310) 803-9453
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700636
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
02/04/2020
Last updated
09/27/2024
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