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General NPI Number Information
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NPI Number | 1982367181
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Entity Type | Organization
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Legal Business Name | PACIFIC HEALTH HOME CARE LLC
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 19634 VENTURA BLVD STE 213
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City | TARZANA
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State | CA
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Zip | 91356-6018
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Country | US
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Telephone | 949-572-5549
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Fax |
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Provider Business Mailing Address
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Address Line | 15411 DOGWOOD ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-6322
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Country | US
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Telephone | 949-572-5549
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT/TREASURER
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Name | PHI LAM
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Credential |
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Telephone | 949-572-5549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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