Healthcare Provider Details

I. General information

NPI: 1891477089
Provider Name (Legal Business Name): RMD CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1159 S ARDMORE AVE
LOS ANGELES CA
90006-3291
US

IV. Provider business mailing address

1159 S ARDMORE AVE
LOS ANGELES CA
90006-3291
US

V. Phone/Fax

Practice location:
  • Phone: 562-505-6484
  • Fax:
Mailing address:
  • Phone: 562-505-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: ROMMEL GAMBOA DUNGCA
Title or Position: CEO
Credential:
Phone: 562-505-6484