MEDICARE: RMD 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	3104A0625X	Assisted Living Facility (Mental Illness)

General Provider Information

NPI Number	:	1891477089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMD CARE INC.

Provider Business Mailing Address
First Line	:	1159 S ARDMORE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-3291
Country	:	US
Telephone Number	:	562-505-6484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1159 S ARDMORE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-3291
Country	:	US
Telephone Number	:	562-505-6484
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROMMEL GAMBOA DUNGCA
Credential	:
Telephone Number	:	562-505-6484

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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