MEDICARE: ORANGEWOOD ARF 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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1942032768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGEWOOD ARF LLC

Provider Business Mailing Address
First Line	:	5967 W 3RD ST STE 360
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2890
Country	:	US
Telephone Number	:	323-217-7877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 S ORANGE AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-7522
Country	:	US
Telephone Number	:	619-440-0121
Fax Number	:

Authorized Official
Title or Position	:	LLC MEMBER
Name	:	SHLOMO ARON
Credential	:
Telephone Number	:	323-217-7877

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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Directions to “ORANGEWOOD ARF LLC ” Practice Location

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