MEDICARE: DAISY'S ANGEL CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821878349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAISY'S ANGEL CARE

Provider Business Mailing Address
First Line	:	5415 PARMERTON AVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-3506
Country	:	US
Telephone Number	:	626-203-8570
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 PARMERTON AVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-3506
Country	:	US
Telephone Number	:	626-203-8570
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAISY CHANG
Credential	:
Telephone Number	:	626-203-8570

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	10/02/2023

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Directions to “DAISY'S ANGEL CARE ” Practice Location

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