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NPI Code Detail

MEDICARE: MADA INC

MEDICARE: MADA 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
1251E00000XHome Health Agency304700085CA

General Provider Information

NPI Number : 1508390378
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADA INC
Provider Business Mailing Address
First Line : 640 N TUSTIN AVE
Second Line : SUITE 201
City : SANTA ANA
State : CA
Zip : 92705-3731
Country : US
Telephone Number : 714-596-2378
Fax Number : 714-596-2376
Provider Business Practice Location Address
First Line : 640 N TUSTIN AVE
Second Line : SUITE 201
City : SANTA ANA
State : CA
Zip : 92705-3731
Country : US
Telephone Number : 714-596-2378
Fax Number : 714-596-2376
Authorized Official
Title or Position : PRESIDENT
Name : MR. MANUEL ARANDA
Credential :
Telephone Number : 562-912-5600
Provider Enumeration Date : 04/18/2017
Last Update Date : 04/18/2017

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Directions to “MADA INC ” Practice Location

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