MEDICARE: A&G HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W18080	OTHER	CA	MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1063691988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&G HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	24 HAMMOND STE C
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-1680
Country	:	US
Telephone Number	:	949-770-6022
Fax Number	:	949-770-7084

Provider Business Practice Location Address
First Line	:	5810 DOWNEY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-4517
Country	:	US
Telephone Number	:	562-398-0200
Fax Number	:	562-398-0204

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERTO A. MARCIANO
Credential	:
Telephone Number	:	949-770-6022

Provider Enumeration Date	:	10/27/2007
Last Update Date	:	10/27/2007

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Directions to “A&G HEALTH SERVICES, INC ” Practice Location

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