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NPI Code Detail

MEDICARE: ULTIMATE HOME HEALTH CARE OF BEVERLY HILLS

MEDICARE: ULTIMATE HOME HEALTH CARE OF BEVERLY HILLS
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
1251E00000XHome HealthCA

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 : 1578554473
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTIMATE HOME HEALTH CARE OF BEVERLY HILLS
Provider Business Mailing Address
First Line : 4201 WILSHIRE BLVD
Second Line : SUITE 508
City : LOS ANGELES
State : CA
Zip : 90010-3601
Country : US
Telephone Number : 323-937-1855
Fax Number : 323-937-1844
Provider Business Practice Location Address
First Line : 4201 WILSHIRE BLVD
Second Line : SUITE 508
City : LOS ANGELES
State : CA
Zip : 90010-3601
Country : US
Telephone Number : 323-937-1855
Fax Number : 323-937-1844
Authorized Official
Title or Position : PRESIDENT
Name : ANADAISY DUARTE GARCIA II
Credential : RN
Telephone Number : 323-937-1855
Provider Enumeration Date : 10/31/2005
Last Update Date : 01/24/2008

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Directions to “ULTIMATE HOME HEALTH CARE OF BEVERLY HILLS ” 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.