Healthcare Provider Details

I. General information

NPI: 1376797035
Provider Name (Legal Business Name): 24HR HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N PACIFIC COAST HWY STE 300
EL SEGUNDO CA
90245-5626
US

IV. Provider business mailing address

200 N PACIFIC COAST HWY STE 300
EL SEGUNDO CA
90245-5626
US

V. Phone/Fax

Practice location:
  • Phone: 310-906-3683
  • Fax: 310-375-5656
Mailing address:
  • Phone: 310-906-3683
  • Fax: 310-375-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN YUJI IWAMOTO
Title or Position: OWNER
Credential:
Phone: 310-906-3689