Healthcare Provider Details

I. General information

NPI: 1720148638
Provider Name (Legal Business Name): ADD SMILE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 S DEL MAR AVE #111-#117
SAN GABRIEL CA
91776-3852
US

IV. Provider business mailing address

1710 S DEL MAR AVE #111-#117
SAN GABRIEL CA
91776-3852
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-6660
  • Fax: 626-280-1868
Mailing address:
  • Phone: 626-280-6660
  • Fax: 626-280-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000689
License Number StateCA

VIII. Authorized Official

Name: MR. MICHAEL DUANE CHIN
Title or Position: PRESIDENT
Credential:
Phone: 626-280-6660