MEDICARE: AXALAN CUNANAN LLC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1336964881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXALAN CUNANAN LLC

Provider Business Mailing Address
First Line	:	5203 JOSIE AVE
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-2110
Country	:	US
Telephone Number	:	720-530-9218
Fax Number	:

Provider Business Practice Location Address
First Line	:	5203 JOSIE AVE
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-2110
Country	:	US
Telephone Number	:	720-530-9218
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE AXALAN
Credential	:
Telephone Number	:	720-530-9218

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	11/21/2024

Similar Medicare Providers

1003085952 — MR. RAYMOND ALAN WODICKA R.PH.
Practice Location Address:

2110 WILLOW LN
LAKEWOOD, CO
80215-1025

Practice Phone: 303-547-6010
Practice Fax:

1720759723 — FRESENIUS MEDICAL CARE LAKEWOOD RANCH, LLC
Practice Location Address:

1939 WORTH CT
LAKEWOOD RANCH, FL
34211-2110

Practice Phone: 941-909-7860
Practice Fax: 941-909-7830

1356072003 — ROSE PRIMUS
Practice Location Address:

5834 ADENMOOR AVE
LAKEWOOD, CA
90713-1002

Practice Phone: 303-989-8169
Practice Fax:

1174463988 — RAGHAVENDRA OLETY, DDS, INC.
Practice Location Address:

4180 WOODRUFF AVE
LAKEWOOD, CA
90713-3144

Practice Phone: 562-938-9514
Practice Fax:

1477704104 — DR. RAGHAVENDRA OLETY DDS
Practice Location Address:

4180 WOODRUFF AVE
LAKEWOOD, CA
90713-3144

Practice Phone: 562-938-9514
Practice Fax:

1336087089 — ABRIANA G MARTINEZ
Practice Location Address:

6016 ARABELLA ST
LAKEWOOD, CA
90713-1269

Practice Phone: 562-321-1927
Practice Fax:

Directions to “AXALAN CUNANAN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.