MEDICARE: WONDERS YEARS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1245006402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WONDERS YEARS INC

Provider Business Mailing Address
First Line	:	24301 BARK ST
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-5228
Country	:	US
Telephone Number	:	949-215-4087
Fax Number	:	949-297-3559

Provider Business Practice Location Address
First Line	:	24301 BARK ST
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-5228
Country	:	US
Telephone Number	:	949-215-4087
Fax Number	:	949-297-3559

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JUAN M GARCIA
Credential	:
Telephone Number	:	949-200-2956

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	06/08/2026

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Directions to “WONDERS YEARS INC ” Practice Location

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