Healthcare Provider Details

I. General information

NPI: 1558581041
Provider Name (Legal Business Name): GOOD HEALTH ADULT DAY HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 N HILL ST STE 111
LOS ANGELES CA
90012-1751
US

IV. Provider business mailing address

988 N HILL ST STE 111
LOS ANGELES CA
90012-1751
US

V. Phone/Fax

Practice location:
  • Phone: 213-680-8880
  • Fax: 213-680-8862
Mailing address:
  • Phone: 213-680-8880
  • Fax: 213-680-8862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000834
License Number StateCA

VIII. Authorized Official

Name: SHAO XIAN TANG
Title or Position: CEO/PRESIDENT
Credential:
Phone: 213-680-8880