=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205758257
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JC HARMONY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 670 CRENSHAW BLVD
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90005-3622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-210-0365
-----------------------------------------------------
Fax | 562-202-5009
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2408 JULIET ST
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90007-1519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-210-0365
-----------------------------------------------------
Fax | 562-202-5009
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | PATRIA M DUFRENNE
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 909-210-0365
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0405X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------