Healthcare Provider Details

I. General information

NPI: 1780355438
Provider Name (Legal Business Name): VAN DOC HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S CHAPARRAL CT STE 140
ANAHEIM CA
92808-2237
US

IV. Provider business mailing address

120 S CHAPARRAL CT STE 140
ANAHEIM CA
92808-2237
US

V. Phone/Fax

Practice location:
  • Phone: 714-298-5496
  • Fax: 714-783-3075
Mailing address:
  • Phone: 714-298-5496
  • Fax: 714-783-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MONICA ALVAREZ
Title or Position: CEO
Credential:
Phone: 714-298-5496