Provider Demographics
NPI:1194329474
Name:RAD CARE SERVICES INC
Entity type:Organization
Organization Name:RAD CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:GAMBOA
Authorized Official - Last Name:DUNGCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-505-6484
Mailing Address - Street 1:1217 S ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-4119
Mailing Address - Country:US
Mailing Address - Phone:323-452-9110
Mailing Address - Fax:323-297-3781
Practice Address - Street 1:1217 S ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4119
Practice Address - Country:US
Practice Address - Phone:323-452-9110
Practice Address - Fax:323-297-3781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-26
Last Update Date:2020-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility