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General NPI Number Information
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NPI Number | 1104696715
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Entity Type | Organization
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Legal Business Name | LITTLE ANGELS PDHC, LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 18534 VIA PRINCESSA
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-8326
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Country | US
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Telephone | 877-717-3920
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Fax |
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Provider Business Mailing Address
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Address Line | 18520 VIA PRINCESSA STE 2B
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-8327
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Country | US
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Telephone | 877-717-3920
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DIANE GARCIA
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Credential |
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Telephone | 818-518-8598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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