Healthcare Provider Details

I. General information

NPI: 1790987006
Provider Name (Legal Business Name): FRIENDLY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15340 PARAMOUNT BLVD
PARAMOUNT CA
90723-4360
US

IV. Provider business mailing address

15340 PARAMOUNT BLVD
PARAMOUNT CA
90723-4360
US

V. Phone/Fax

Practice location:
  • Phone: 562-630-7100
  • Fax: 562-630-7444
Mailing address:
  • Phone: 562-630-7100
  • Fax: 562-630-7444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JULIO CAESAR AGUILAR
Title or Position: ADMINISTRATOR
Credential:
Phone: 562-630-7100