Healthcare Provider Details

I. General information

NPI: 1598781098
Provider Name (Legal Business Name): PACIFIC HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W LAS TUNAS DR STE F
SAN GABRIEL CA
91776-1346
US

IV. Provider business mailing address

110 W LAS TUNAS DR STE F
SAN GABRIEL CA
91776-1346
US

V. Phone/Fax

Practice location:
  • Phone: 626-291-5388
  • Fax: 626-291-5111
Mailing address:
  • Phone: 626-291-5388
  • Fax: 626-291-5111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number630007564
License Number StateCA

VIII. Authorized Official

Name: MARGARETT PERILLO ZAMORA
Title or Position: CEO
Credential:
Phone: 626-253-9318