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NPI Code Detail

MEDICARE: JUBILEE HEALTH CARE MANAGEMENT, INC.

MEDICARE: JUBILEE HEALTH CARE MANAGEMENT, 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 AgencyCA

Other Identifiers

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

General Provider Information

NPI Number : 1811995665
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUBILEE HEALTH CARE MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 4010 WATSON PLAZA DR
Second Line : SUITE 210
City : LAKEWOOD
State : CA
Zip : 90712-4037
Country : US
Telephone Number : 562-497-0420
Fax Number :
Provider Business Practice Location Address
First Line : 4010 WATSON PLAZA DR
Second Line : SUITE 210
City : LAKEWOOD
State : CA
Zip : 90712-4037
Country : US
Telephone Number : 562-497-0420
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EUGENE CHOI
Credential :
Telephone Number : 562-497-0420
Provider Enumeration Date : 07/13/2005
Last Update Date : 12/12/2007

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Directions to “JUBILEE HEALTH CARE MANAGEMENT, INC. ” Practice Location

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