Healthcare Provider Details

I. General information

NPI: 1386631091
Provider Name (Legal Business Name): D & C CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 N FAIR OAKS AVE
PASADENA CA
91103-1615
US

IV. Provider business mailing address

1640 N FAIR OAKS AVE
PASADENA CA
91103-1615
US

V. Phone/Fax

Practice location:
  • Phone: 626-798-1175
  • Fax: 626-798-3810
Mailing address:
  • Phone: 626-798-1175
  • Fax: 626-798-3810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. JUHN SORIANO CAYABYAB
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 626-798-1175