2ND CENTURY ADHC NPI 1962612952

NPI Information

2ND CENTURY ADHC is an adult day care clinic center in Los Angeles, CA. 2ND CENTURY ADHC NPI is 1962612952. The provider is registered as an organization entity type.

The provider's business location address is:

2121 BEVERLY BLVD
LOS ANGELES, CA
ZIP 90057-203
Phone: (213) 483-1117
Fax: (213) 483-1127

The provider's authorized official is Aleks Gaiyan .
The authorized official title is Program Director and has the following contact phone number (213) 483-1117.

The CLIA number assigned to this NPI record is 05D0984182 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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:

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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