MEDICARE: AMERICAN INTERNATIOMAL CAREGIVER SERVICE, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255016341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN INTERNATIOMAL CAREGIVER SERVICE, INC.

Provider Business Mailing Address
First Line	:	5150 WILSHIRE BLVD STE 360
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4480
Country	:	US
Telephone Number	:	323-934-4749
Fax Number	:	323-965-8574

Provider Business Practice Location Address
First Line	:	5150 WILSHIRE BLVD STE 360
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4480
Country	:	US
Telephone Number	:	323-934-4749
Fax Number	:	323-965-8574

Authorized Official
Title or Position	:	PATIENT CARE COORDINATOR
Name	:	JAN MICHAEL TAGUIAM
Credential	:
Telephone Number	:	323-934-4749

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	06/16/2023

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