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General NPI Number Information
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NPI Number | 1689883712
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Entity Type | Organization
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Legal Business Name | ARTESIA ADULT DAY HEALTH CARE, INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 716 S BEACH BLVD
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City | ANAHEIM
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State | CA
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Zip | 92804-3105
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Country | US
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Telephone | 714-828-7898
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Fax | 714-828-3898
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Provider Business Mailing Address
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Address Line | 716 S BEACH BLVD
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City | ANAHEIM
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State | CA
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Zip | 92804-3105
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Country | US
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Telephone | 714-828-7898
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Fax | 714-828-3898
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EUNIE KOO
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Credential |
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Telephone | 714-828-7898
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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 | 060000813
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License Number State | CA
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