Healthcare Provider Details

I. General information

NPI: 1205758257
Provider Name (Legal Business Name): JC HARMONY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 CRENSHAW BLVD
LOS ANGELES CA
90005-3622
US

IV. Provider business mailing address

2408 JULIET ST
LOS ANGELES CA
90007-1519
US

V. Phone/Fax

Practice location:
  • Phone: 909-210-0365
  • Fax: 562-202-5009
Mailing address:
  • Phone: 909-210-0365
  • Fax: 562-202-5009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRIA M DUFRENNE
Title or Position: CEO
Credential: RN
Phone: 909-210-0365