Healthcare Provider Details

I. General information

NPI: 1164739348
Provider Name (Legal Business Name): RITZCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 E. VALLEY BLVD SUITE 307-A
WEST COVINA CA
91792
US

IV. Provider business mailing address

2707 E. VALLEY BLVD SUITE 307-A
WEST COVINA CA
91792
US

V. Phone/Fax

Practice location:
  • Phone: 626-581-7237
  • Fax: 626-581-2270
Mailing address:
  • Phone: 626-581-7237
  • Fax: 626-581-2270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MOLLY WANG
Title or Position: PRESIDENT
Credential:
Phone: 626-581-7237