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NPI Code Detail

MEDICARE: ALZHEIMER'S FAMILY SERVICES CENTER

MEDICARE: ALZHEIMER'S FAMILY SERVICES CENTER
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
1261QA0600XAdult Day Care Clinic/Center060000393CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ADU70098FOTHERCAMEDI-CAL PROVIDER

General Provider Information

NPI Number : 1093807661
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALZHEIMER'S FAMILY SERVICES CENTER
Provider Business Mailing Address
First Line : 9451 INDIANAPOLIS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5955
Country : US
Telephone Number : 714-593-9630
Fax Number : 714-593-9632
Provider Business Practice Location Address
First Line : 9451 INDIANAPOLIS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5955
Country : US
Telephone Number : 714-593-9630
Fax Number : 714-593-9632
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. CORDULA DICK-MUEHLKE
Credential : PH.D.
Telephone Number : 714-593-1840
Provider Enumeration Date : 09/29/2006
Last Update Date : 09/11/2007

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Directions to “ALZHEIMER'S FAMILY SERVICES CENTER ” Practice Location

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