Provider Demographics
NPI:1033376561
Name:FELIZ HEALTH CARE, INC
Entity Type:Organization
Organization Name:FELIZ HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / LICENSEE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAUTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-514-3513
Mailing Address - Street 1:28632 MOUNT RUSHMORE RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-1920
Mailing Address - Country:US
Mailing Address - Phone:310-514-3513
Mailing Address - Fax:562-924-2036
Practice Address - Street 1:21310 RAVENNA AVE
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2143
Practice Address - Country:US
Practice Address - Phone:310-724-2036
Practice Address - Fax:310-724-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities