Healthcare Provider Details

I. General information

NPI: 1689875163
Provider Name (Legal Business Name): LHP ADULT DAY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 W OLYMPIC BLVD # 120
LOS ANGELES CA
90006-3832
US

IV. Provider business mailing address

1424 W OLYMPIC BLVD
LOS ANGELES CA
90015-3904
US

V. Phone/Fax

Practice location:
  • Phone: 213-384-3224
  • Fax: 213-384-1986
Mailing address:
  • Phone: 213-384-3224
  • Fax: 213-384-1986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000720
License Number StateCA

VIII. Authorized Official

Name: MISS HOPE PAK
Title or Position: PRESIDENT
Credential:
Phone: 213-384-3224