NPI Code Details Logo

NPI 1760026298

NPI 1760026298 : BLISS HEALTH CARE SERVICES, INC. : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760026298
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BLISS HEALTH CARE SERVICES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/28/2019
-----------------------------------------------------
    Last Update Date     |    05/26/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1501 W WASHINGTON BLVD 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90007-1258
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    213-212-4343
-----------------------------------------------------
    Fax                  |    818-776-8789
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1501 W. WASHINGTON BLVD. 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90007-1258
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    213-212-4343
-----------------------------------------------------
    Fax                  |    818-776-8789
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. CHAE WANG KIM 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    213-212-4343
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QA0600X
-----------------------------------------------------
    Taxonomy Name        |    Adult Day Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.