Healthcare Provider Details

I. General information

NPI: 1750842225
Provider Name (Legal Business Name): G&G HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S BROADWAY STE 425
LOS ANGELES CA
90014-1811
US

IV. Provider business mailing address

610 S BROADWAY STE 425
LOS ANGELES CA
90014-1811
US

V. Phone/Fax

Practice location:
  • Phone: 213-395-0485
  • Fax: 213-395-0486
Mailing address:
  • Phone: 213-395-0485
  • Fax: 213-395-0486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. FE LEGASPI FLINT
Title or Position: DPCS/ADMINISTRATOR
Credential:
Phone: 213-395-0485