Healthcare Provider Details

I. General information

NPI: 1679933097
Provider Name (Legal Business Name): SOCAL SENIOR SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24260 EL TORO RD
LAGUNA WOODS CA
92637-3488
US

IV. Provider business mailing address

2515 MCCABE WAY SUITE 200
IRVINE CA
92614
US

V. Phone/Fax

Practice location:
  • Phone: 949-855-9444
  • Fax: 949-855-4093
Mailing address:
  • Phone: 949-757-3726
  • Fax: 949-333-6339

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. JAMES EDWARD MCALEER III
Title or Position: CEO
Credential: M.P.A.
Phone: 949-757-3715