Organization
DYNAMIC HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CASTROMAYOR (PRESIDENT)
(626) 405-0449
Entity
Organization
Contact information
Practice address
596 N LAKE AVE, SUITE 201, PASADENA, CA 91101-1455
(626) 405-0449
(626) 405-0439
Mailing address
596 N LAKE AVE, SUITE 201, PASADENA, CA 91101-1455
(626) 405-0449
(626) 405-0439
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550000474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000474
DEPARTMENT OF HEALTH SERVICES
CA
Enumeration date
02/04/2009
Last updated
06/15/2010
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