EASTVALE ADHC INC. NPI 1396403267

NPI Information

NPI: 1396403267
Provider Name: EASTVALE ADHC INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D2095375

Address:
12442 LIMONITE AVE STE A100
EASTVALE, CA
ZIP 91752
Phone: (626) 945-8801
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EASTVALE ADHC INC. is an adult day care clinic center in Eastvale, CA. EASTVALE ADHC INC. NPI is 1396403267. The provider is registered as an organization entity type.

The provider's business location address is:

12442 LIMONITE AVE STE A100
EASTVALE, CA
ZIP 91752-467
Phone: (626) 945-8801

The provider's authorized official is William Weng .
The authorized official title is Administrator and has the following contact phone number (626) 945-8801.

The CLIA number assigned to this NPI record is 05D2095375 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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: 5/5/2024

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