MEDICARE: GOOD HEALTH ADULT DAY HEALTH CARE, 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	261QA0600X	Adult Day Care Clinic/Center	060000834	CA

General Provider Information

NPI Number	:	1558581041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HEALTH ADULT DAY HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	988 N HILL ST STE 111
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1751
Country	:	US
Telephone Number	:	213-680-8880
Fax Number	:	213-680-8862

Provider Business Practice Location Address
First Line	:	988 N HILL ST STE 111
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1751
Country	:	US
Telephone Number	:	213-680-8880
Fax Number	:	213-680-8862

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	SHAO XIAN TANG
Credential	:
Telephone Number	:	213-680-8880

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	04/16/2026

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