Healthcare Provider Details

I. General information

NPI: 1699687186
Provider Name (Legal Business Name): AFW HOME HEALTH INCORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S KRAEMER BLVD STE 100B
BREA CA
92821-6763
US

IV. Provider business mailing address

500 S KRAEMER BLVD STE 100B
BREA CA
92821-6763
US

V. Phone/Fax

Practice location:
  • Phone: 562-293-6000
  • Fax: 657-500-8383
Mailing address:
  • Phone: 714-528-8856
  • Fax: 714-528-8857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMPARO FERNANDEZ WANG
Title or Position: CEO/ADMINISTRATOR
Credential: LVN
Phone: 562-293-6000