{
"Npi": {
"NPI": "1558902767",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTH ALLIANCE ADHC, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1245 W CIENEGA AVE SPC 106",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN DIMAS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91773-2826",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3240 N GAREY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "POMONA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91767-1308",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-420-2356",
"PracticeLocationAddressFaxNumber": "800-420-0481",
"EnumerationDate": "09/30/2019",
"LastUpdateDate": "04/27/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DE CASTRO",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "626-216-8999",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}