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NPI Code Detail

MEDICARE: SPRING ADULT DAY HEALTH CARE, INC

MEDICARE: SPRING ADULT DAY HEALTH CARE, 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
1251K00000XPublic Health or Welfare Agency060000934CA

Other Identifiers

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

General Provider Information

NPI Number : 1245444264
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING ADULT DAY HEALTH CARE, INC
Provider Business Mailing Address
First Line : 19648 CAMINO DE ROSA
Second Line :
City : WALNUT
State : CA
Zip : 91789-2103
Country : US
Telephone Number : 626-965-7833
Fax Number : 626-964-5483
Provider Business Practice Location Address
First Line : 19648 CAMINO DE ROSA
Second Line :
City : WALNUT
State : CA
Zip : 91789-2103
Country : US
Telephone Number : 626-965-7833
Fax Number : 626-964-5483
Authorized Official
Title or Position : OWNER
Name : KYUNG JO
Credential :
Telephone Number : 213-505-3088
Provider Enumeration Date : 05/09/2007
Last Update Date : 08/01/2024

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Directions to “SPRING ADULT DAY HEALTH CARE, INC ” Practice Location

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