Healthcare Provider Details
I. General information
NPI: 1952996019
Provider Name (Legal Business Name): CALIFORNIA R & R CONSULTING AND MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2021
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8201 CALIFORNIA CITY BLVD STE C
CALIFORNIA CITY CA
93505-2629
US
IV. Provider business mailing address
8201 CALIFORNIA CITY BLVD STE C
CALIFORNIA CITY CA
93505-2629
US
V. Phone/Fax
- Phone: 760-385-3514
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROGER
PASCUAL
Title or Position: CEO
Credential:
Phone: 760-385-3514