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SALIDA DEL SOL CBAS LLC NPI 1639791429


NPI Information

NPI: 1639791429
Provider Name: SALIDA DEL SOL CBAS, LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D1104524

Address:
5350 ATLANTIC AVE
LONG BEACH, CA
ZIP 90805
Phone: (619) 764-1569
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SALIDA DEL SOL CBAS, LLC is an adult day care clinic center in Long Beach, CA. SALIDA DEL SOL CBAS, LLC NPI is 1639791429. The provider is registered as an organization entity type.

The provider's business location address is:

5350 ATLANTIC AVE
LONG BEACH, CA
ZIP 90805-020
Phone: (619) 764-1569

The provider's authorized official is Boyu Liu .
The authorized official title is President and has the following contact phone number (619) 764-1569.

The CLIA number assigned to this NPI record is 05D1104524 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.


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
1261QA0600XClinic/CenterAdult Day CareYes

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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