Kingsley Place Adhc 2

LBN: Kingsley Place Adhc 2
Kingsley Place Adhc 2 is an health care organization with primary practice located at 1225 James M. Wood Blvd. , Los Angeles CA 90015-1231. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Kingsley Place Adhc 2 can be contacted via phone (213) 387-9097, or through Basmadzhyan, Armen via phone (213) 387-9097.

Contact Information

Primary practice address
1225 James M. Wood Blvd. Los Angeles CA 90015-1231
Fax: (213) 387-9098
Website:
Authorized official contact:
Name: Basmadzhyan, Armen

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 060000907 California

Profile Details

NPI number 1881819837
LBN Legal business name Kingsley Place Adhc 2
DBA Doing business as
Authorized official Basmadzhyan, Armen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jan 18th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881819837 NPPES
California MEDICAID ADU70395F

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