Healthcare Provider Details

I. General information

NPI: 1346138468
Provider Name (Legal Business Name): CMSENIORCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 TELSTAR AVE UNIT A
EL MONTE CA
91731-3011
US

IV. Provider business mailing address

9650 TELSTAR AVE UNIT A
EL MONTE CA
91731-3011
US

V. Phone/Fax

Practice location:
  • Phone: 626-310-0853
  • Fax:
Mailing address:
  • Phone: 626-310-0853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YUNG CHOI
Title or Position: OWNER
Credential:
Phone: 626-310-0853