MEDICARE: C & H HEALTH CARE

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	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619965209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & H HEALTH CARE

Provider Business Mailing Address
First Line	:	515 CENTINELA AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-3215
Country	:	US
Telephone Number	:	310-674-4500
Fax Number	:	310-674-9393

Provider Business Practice Location Address
First Line	:	515 CENTINELA AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-3215
Country	:	US
Telephone Number	:	310-674-4500
Fax Number	:	310-674-9393

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LYDIA FLORO CRUZ
Credential	:
Telephone Number	:	323-965-0600

Provider Enumeration Date	:	10/08/2005
Last Update Date	:	11/19/2007

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Directions to “C & H HEALTH CARE ” Practice Location

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