Healthcare Provider Details

I. General information

NPI: 1609902436
Provider Name (Legal Business Name): ALL FOR KIDS ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W AVENUE P4
PALMDALE CA
93551-3743
US

IV. Provider business mailing address

525 W AVENUE P4
PALMDALE CA
93551-3743
US

V. Phone/Fax

Practice location:
  • Phone: 661-272-9996
  • Fax: 661-272-0438
Mailing address:
  • Phone: 661-272-9996
  • Fax: 661-272-0438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: LETICIA H JUAREZ
Title or Position: QA ADMINISTRATIVE MANAGER
Credential:
Phone: 213-342-0150