=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124981881
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALIVIA TECHNOLOGY AND INVESTMENTS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17777 CENTER COURT DR N STE 600
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-8575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-655-8060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17777 CENTER COURT DR N STE 600
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-8575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-655-8060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | GARY EPPS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 562-843-1874
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------