Healthcare Provider Details

I. General information

NPI: 1154811107
Provider Name (Legal Business Name): BALDWIN HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S BALDWIN AVE
ARCADIA CA
91007-7930
US

IV. Provider business mailing address

27101 PUERTA REAL STE 450
MISSION VIEJO CA
92691-8566
US

V. Phone/Fax

Practice location:
  • Phone: 949-487-9500
  • Fax:
Mailing address:
  • Phone: 949-487-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SOON BURNAM
Title or Position: TREASURER
Credential:
Phone: 949-540-1249