Organization
ANGEL CITY SENIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROGERS (CEO)
(310) 342-0961
Entity
Organization
Contact information
Practice address
409 N PACIFIC COAST HWY STE 610, REDONDO BEACH, CA 90277-2870
(310) 342-0961
Mailing address
409 N PACIFIC COAST HWY STE 610, REDONDO BEACH, CA 90277-2870
(310) 342-0961
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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