Provider Demographics
NPI:1558183574
Name:AYA ALTERNATIVE CORPORATION
Entity type:Organization
Organization Name:AYA ALTERNATIVE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHRA
Authorized Official - Middle Name:ROGELIO
Authorized Official - Last Name:NAGA
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:562-304-6052
Mailing Address - Street 1:15384 GUNDRY AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-3913
Mailing Address - Country:US
Mailing Address - Phone:562-304-6052
Mailing Address - Fax:
Practice Address - Street 1:15384 GUNDRY AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-3913
Practice Address - Country:US
Practice Address - Phone:562-304-6052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health