Healthcare Provider Details

I. General information

NPI: 1528851755
Provider Name (Legal Business Name): ALFA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10641 CHURCH ST
RANCHO CUCAMONGA CA
91730-6862
US

IV. Provider business mailing address

713 W DUARTE RD STE G810
ARCADIA CA
91007-7564
US

V. Phone/Fax

Practice location:
  • Phone: 626-888-9580
  • Fax:
Mailing address:
  • Phone: 626-888-9580
  • 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: YANAN LIANG
Title or Position: MANAGER
Credential:
Phone: 626-888-9580