Healthcare Provider Details

I. General information

NPI: 1023935905
Provider Name (Legal Business Name): ANGELS OASIS CLHF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12018 SARAH ST
VALLEY VILLAGE CA
91607-4131
US

IV. Provider business mailing address

12018 SARAH ST
VALLEY VILLAGE CA
91607-4131
US

V. Phone/Fax

Practice location:
  • Phone: 323-284-2061
  • Fax: 323-284-2103
Mailing address:
  • Phone: 323-284-2061
  • Fax: 323-284-2103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ALVIN UY
Title or Position: OWNER
Credential:
Phone: 323-359-2767