Healthcare Provider Details

I. General information

NPI: 1164558623
Provider Name (Legal Business Name): SANAR HEALTH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PINE AVE
LONG BEACH CA
90813
US

IV. Provider business mailing address

900 PINE AVE
LONG BEACH CA
90813
US

V. Phone/Fax

Practice location:
  • Phone: 562-495-2249
  • Fax: 562-495-2702
Mailing address:
  • Phone: 562-495-2249
  • Fax: 562-495-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. ARNOLD H GONZALEZ
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 562-495-2249