Healthcare Provider Details

I. General information

NPI: 1932439783
Provider Name (Legal Business Name): RIGHT CHOICE A HEALTH CARE SERVICE COMPANY,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S GLENDORA AVE
GLENDORA CA
91740-6815
US

IV. Provider business mailing address

PO BOX 127
GLENDORA CA
91740-0127
US

V. Phone/Fax

Practice location:
  • Phone: 626-335-1318
  • Fax: 626-335-1554
Mailing address:
  • Phone: 626-335-1318
  • Fax: 626-335-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MUKHLES ( MIKE ) DABABNEH
Title or Position: PRESIDENT / CEO
Credential:
Phone: 626-335-1318