MEDICARE: ALL FOR KIDS ORGANIZATION

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	251S00000X	Community/Behavioral Health Agency		CA

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
2	00668	OTHER	CA	DMH LEGAL ENITITY NUMBER
3	7302A	OTHER	CA	DMH REPORTING UNIT

General Provider Information

NPI Number	:	1700912557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL FOR KIDS ORGANIZATION

Provider Business Mailing Address
First Line	:	1515 W CAMERON AVE STE 350
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91790-2726
Country	:	US
Telephone Number	:	626-337-8811
Fax Number	:	626-856-5653

Provider Business Practice Location Address
First Line	:	1515 W CAMERON AVE STE 350
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91790-2726
Country	:	US
Telephone Number	:	626-337-8811
Fax Number	:	626-856-5653

Authorized Official
Title or Position	:	QA ADMINISTRATIVE MANAGER
Name	:	LETICIA H JUAREZ
Credential	:
Telephone Number	:	213-342-0150

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	01/08/2026

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Directions to “ALL FOR KIDS ORGANIZATION ” Practice Location

Language	Start Address	Practice Location

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