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1043122815 NPI number — GOLDEN DAYS ADULT DAY HEALTH CARE OF PALM DESERT INC.

NPI Number: 1043122815
Health Care Provider/Practitioner: GOLDEN DAYS ADULT DAY HEALTH CARE OF PALM DESERT INC.

Information about “1043122815” NPI (GOLDEN DAYS ADULT DAY HEALTH CARE OF PALM DESERT INC.) exists in 1043122815 in HTML format HTML  |  1043122815 in plain Text format TXT  |  1043122815 in PDF (Portable Document Format) PDF  |  1043122815 in an XML format XML  formats.

NPI Number : 1043122815 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043122815",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOLDEN DAYS ADULT DAY HEALTH CARE OF PALM DESERT INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "716 W BROADWAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91204-1010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "41725 COOK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM DESERT",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92211-5100",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-933-0040",
    "PracticeLocationAddressFaxNumber": "760-938-0030",
    "EnumerationDate": "09/17/2026",
    "LastUpdateDate": "09/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SAMVALIAN",
    "AuthorizedOfficialFirstName": "ANGEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "760-933-0040",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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