Healthcare Provider Details

I. General information

NPI: 1285679977
Provider Name (Legal Business Name): ARCADIA ADHC, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 N HIGHLAND AVE
LOS ANGELES CA
90038-3417
US

IV. Provider business mailing address

860 N HIGHLAND AVE
LOS ANGELES CA
90038-3417
US

V. Phone/Fax

Practice location:
  • Phone: 323-466-4122
  • Fax:
Mailing address:
  • Phone: 323-466-4122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000661
License Number StateCA

VIII. Authorized Official

Name: EDWARD DRATVER
Title or Position: PRESIDENT
Credential:
Phone: 323-466-4122