Healthcare Provider Details

I. General information

NPI: 1962501494
Provider Name (Legal Business Name): HZOR MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E WASHINGTON BLVD
PASADENA CA
91104-5007
US

IV. Provider business mailing address

740 E WASHINGTON BLVD
PASADENA CA
91104-5007
US

V. Phone/Fax

Practice location:
  • Phone: 626-345-1240
  • Fax: 626-345-1335
Mailing address:
  • Phone: 626-345-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GARY V HZOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 626-345-1240