Healthcare Provider Details

I. General information

NPI: 1629908397
Provider Name (Legal Business Name): LP SENIOR DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111B WALKER ST
LA PALMA CA
90623-2048
US

IV. Provider business mailing address

5367 VIA MORENA
YORBA LINDA CA
92886-5007
US

V. Phone/Fax

Practice location:
  • Phone: 714-273-6940
  • Fax:
Mailing address:
  • Phone:
  • 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: LYNN SHIN
Title or Position: PRESIDENT
Credential: RN
Phone: 714-273-6940