Healthcare Provider Details
I. General information
NPI: 1932053857
Provider Name (Legal Business Name): FSS USA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1811 S SAN GABRIEL BLVD
SAN GABRIEL CA
91776-3929
US
IV. Provider business mailing address
300 W VALLEY BLVD STE 22
ALHAMBRA CA
91803-3338
US
V. Phone/Fax
- Phone: 626-866-1234
- Fax:
- Phone: 626-866-1234
- Fax: 626-866-1234
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IVY
CHIU
Title or Position: CEO
Credential: CHIU
Phone: 626-866-1234