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MOONLIGHT GARDEN RESIDENTIAL CARE FACILITIES FOR ELDERLY INC NPI 1194970376


NPI Information

NPI: 1194970376
Provider Name: MOONLIGHT GARDEN RESIDENTIAL CARE FACILITIES FOR ELDERLY INC

Doing Business As: PHYSICAL THERAPY ON LINE

Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
3670 BARRY AVE
LOS ANGELES, CA
ZIP 90066
Phone: (310) 621-4595
Get Directions

MOONLIGHT GARDEN RESIDENTIAL CARE FACILITIES FOR ELDERLY INC is a case management in Los Angeles, CA. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. MOONLIGHT GARDEN RESIDENTIAL CARE FACILITIES FOR ELDERLY INC NPI is 1194970376. The provider is registered as an organization entity type.
The provider Is Doing Business As Physical Therapy On Line.

The provider's business location address is:

3670 BARRY AVE
LOS ANGELES, CA
ZIP 90066-202
Phone: (310) 621-4595
Fax: (310) 390-3883

The provider's authorized official is Mozhgan Mojab .
The authorized official title is Ceo and has the following contact phone number (310) 621-4595.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 8/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementPT 19312CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W18826OTHERCALIFORNIAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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