Healthcare Provider Details

I. General information

NPI: 1164126330
Provider Name (Legal Business Name): GOLDEN ERA ADHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 UNION SQ
UNION CITY CA
94587-3523
US

IV. Provider business mailing address

2638 RAINIER CT
UNION CITY CA
94587-4923
US

V. Phone/Fax

Practice location:
  • Phone: 408-300-2367
  • Fax:
Mailing address:
  • Phone:
  • 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: MRS. HANH GIANG
Title or Position: MANAGING MEMBER
Credential:
Phone: 408-300-2367