Healthcare Provider Details

I. General information

NPI: 1376474627
Provider Name (Legal Business Name): AK-PCAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W 234TH ST
CARSON CA
90745-5111
US

IV. Provider business mailing address

406 W 234TH ST
CARSON CA
90745-5111
US

V. Phone/Fax

Practice location:
  • Phone: 310-684-1837
  • Fax: 310-687-1837
Mailing address:
  • Phone: 310-684-1837
  • Fax: 310-684-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ANWER MOHAMMAD KHAN
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 310-920-7434