Healthcare Provider Details

I. General information

NPI: 1598628075
Provider Name (Legal Business Name): HOPE ADHC CBAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6269 BALL RD
CYPRESS CA
90630-4078
US

IV. Provider business mailing address

22437 NORWALK BLVD
HAWAIIAN GARDENS CA
90716
US

V. Phone/Fax

Practice location:
  • Phone: 714-726-2179
  • Fax:
Mailing address:
  • Phone: 714-726-2179
  • 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. DANIEL HAN
Title or Position: PRESIDENT
Credential:
Phone: 714-726-2179