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General NPI Number Information
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NPI Number | 1215140397
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Entity Type | Organization
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Legal Business Name | EAST LOS ANGELES REMARKABLE CITZENS' ASSOCIATION, INC.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 4008 FLORENCE AVE
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City | BELL
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State | CA
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Zip | 90201-3404
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Country | US
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Telephone | 323-895-7896
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Fax | 323-895-7897
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Provider Business Mailing Address
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Address Line | 3839 SELIG PL
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City | LOS ANGELES
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State | CA
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Zip | 90031-3143
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Country | US
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Telephone | 323-223-3079
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Fax | 323-223-4684
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KARINA ALICIA ANDRADE
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Credential |
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Telephone | 323-223-3079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 060000591
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License Number State | CA
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