MEDICARE: CHULA RAMA, 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093945305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHULA RAMA, INC.

Provider Business Mailing Address
First Line	:	3020 OLD RANCH PKWY
Second Line	:	SUITE 300
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-2765
Country	:	US
Telephone Number	:	626-864-1252
Fax Number	:	562-799-5501

Provider Business Practice Location Address
First Line	:	3020 OLD RANCH PKWY
Second Line	:	SUITE 300
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-2765
Country	:	US
Telephone Number	:	626-864-1252
Fax Number	:	562-799-5501

Authorized Official
Title or Position	:	OWNER
Name	:	MR. YICHIA CHEN
Credential	:
Telephone Number	:	626-864-1252

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	07/21/2009

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Directions to “CHULA RAMA, INC. ” Practice Location

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