Healthcare Provider Details

I. General information

NPI: 1083219182
Provider Name (Legal Business Name): CHINO HILLS ADHC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 CHINO HILLS PARKWAY SUITE 320, 325, 330
CHINO HILLS CA
91709
US

IV. Provider business mailing address

4200 CHINO HILLS PARKWAY SUITE 320, 325, 330
CHINO HILLS CA
91709
US

V. Phone/Fax

Practice location:
  • Phone: 909-264-1114
  • Fax:
Mailing address:
  • Phone: 909-264-1114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM W WENG
Title or Position: CEO
Credential: BA ECONOMICS
Phone: 626-321-2988