CEDACAL LLC. NPI 1346711504

NPI Information

  • NPI: 1346711504
  • Provider Name: CEDACAL, LLC.
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Address: 5663 CEDARGLEN DR
    AZUSA, CA
    ZIP 91702
  • Phone: (626) 373-6211

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NPI Details

CEDACAL, LLC. is an intermediate care facility mental illness in Azusa, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CEDACAL, LLC. NPI is 1346711504. The provider is registered as an organization entity type.

The provider's business location address is:

5663 CEDARGLEN DR
AZUSA, CA
ZIP 91702-007
Phone: (626) 373-6211

The provider's authorized official is Rowie Jucal .
The authorized official title is Administrator/rn and has the following contact phone number (626) 373-6211.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

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
1310500000XIntermediate Care Facility, Mental IllnessYes

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: 11/21/2025

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