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General NPI Number Information
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NPI Number | 1538009147
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Entity Type | Organization
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Legal Business Name | EVEREST TUSTIN BLESSING STAR LLC & SCHC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1262 BRYAN AVE
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City | TUSTIN
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State | CA
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Zip | 92780-4464
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Country | US
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Telephone | 714-627-5947
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S GARFIELD AVE STE 308
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City | ALHAMBRA
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State | CA
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Zip | 91801-4486
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEALTH AND WELLNESS DIRECTOR
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Name | ROBIN AQUINO
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Credential |
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Telephone | 415-671-9782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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