1699581967 NPI number — ARIA SENIOR CARE ASSISTED LIVING LLC

Table of content: FRANCIS STEPHEN AGNOLI M.D. (NPI 1699752741)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699581967 NPI number — ARIA SENIOR CARE ASSISTED LIVING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARIA SENIOR CARE ASSISTED LIVING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699581967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
908 N VALLEY VIEW PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FULLERTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92833-2224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-441-8683
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
908 N VALLEY VIEW PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FULLERTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92833-2224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-441-8683
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2024

Additional Information

Authorized Official

Authorized Official Last Name:
YOO
Authorized Official First Name:
YUMI
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
714-441-8683

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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