Organization
2ND CENTURY ADHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEKS GAIYAN (PROGRAM DIRECTOR)
(213) 483-1117
Entity
Organization
Contact information
Practice address
2121 BEVERLY BLVD, LOS ANGELES, CA 90057-2203
(213) 483-1117
(213) 483-1127
Mailing address
2121 BEVERLY BLVD, LOS ANGELES, CA 90057-2203
(213) 483-1117
(213) 483-1127
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70226F
PROVIDER NUMBER
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
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