MEDICARE: ALLIANCE HEALTHCARE

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	:	1497047401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HEALTHCARE

Provider Business Mailing Address
First Line	:	1400 S HAYWORTH AVE STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4814
Country	:	US
Telephone Number	:	323-424-4523
Fax Number	:	323-424-4746

Provider Business Practice Location Address
First Line	:	1400 S HAYWORTH AVE STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4814
Country	:	US
Telephone Number	:	323-424-4523
Fax Number	:	323-424-4746

Authorized Official
Title or Position	:	VP
Name	:	MR. RIGOBERTO VALERDI
Credential	:
Telephone Number	:	323-424-4523

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	05/09/2011

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Directions to “ALLIANCE HEALTHCARE ” Practice Location

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