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NPI Code Detail

MEDICARE: PEOPLE'S CARE NORTHERN CALIFORNIA, LLC

MEDICARE: PEOPLE'S CARE NORTHERN CALIFORNIA, LLC
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
1320700000XPhysical Disabilities Residential Treatment Facility
2320800000XMental Illness Community Based Residential Treatment Facility
3320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
5323P00000XPsychiatric Residential Treatment Facility
6324500000XSubstance Abuse Rehabilitation Facility
73245S0500XChildren's Substance Abuse Rehabilitation Facility
8320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1790623122
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEOPLE'S CARE NORTHERN CALIFORNIA, LLC
Provider Business Mailing Address
First Line : 13920 CITY CENTER DR STE 290
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5444
Country : US
Telephone Number : 909-313-1285
Fax Number :
Provider Business Practice Location Address
First Line : 13920 CITY CENTER DR STE 290
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5444
Country : US
Telephone Number : 909-313-1285
Fax Number :
Authorized Official
Title or Position : SR. DIRECTOR OF CONTRACTS
Name : SHARON N HAN
Credential :
Telephone Number : 909-313-1285
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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