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General NPI Number Information
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NPI Number | 1033117734
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Entity Type | Organization
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Legal Business Name | HOLY ANGEL HOME HEALTH CARE ,INC.
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3350 WILSHIRE BLVD SUITE 540
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City | LOS ANGELES
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State | CA
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Zip | 90010-1824
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Country | US
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Telephone | 213-380-2280
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Fax | 213-380-2803
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Provider Business Mailing Address
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Address Line | 3350 WILSHIRE BLVD SUITE 540
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City | LOS ANGELES
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State | CA
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Zip | 90010-1824
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Country | US
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Telephone | 213-380-2280
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Fax | 213-380-2803
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. LEILANI N CORUNA
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Credential |
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Telephone | 213-380-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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