KINGSLEY PLACE ADHC 2 NPI 1881819837

NPI Information

KINGSLEY PLACE ADHC 2 is an adult day care clinic center in Los Angeles, CA. KINGSLEY PLACE ADHC 2 NPI is 1881819837. The provider is registered as an organization entity type.

The provider's business location address is:

1225 JAMES M. WOOD BLVD.
LOS ANGELES, CA
ZIP 90015-231
Phone: (213) 387-9097
Fax: (213) 387-9098

The provider's authorized official is Armen Basmadzhyan .
The authorized official title is Administrator and has the following contact phone number (213) 387-9097.

The CLIA number assigned to this NPI record is 05D1013580 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 1/18/2023.

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:

Other Identifiers

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

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