Provider Demographics
NPI:1033516125
Name:ARMANDO LAYGO
Entity Type:Organization
Organization Name:ARMANDO LAYGO
Other - Org Name:PALA CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-536-0433
Mailing Address - Street 1:19 LOS FELIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766
Mailing Address - Country:US
Mailing Address - Phone:909-623-4964
Mailing Address - Fax:909-236-7824
Practice Address - Street 1:19 LOS FELIS DR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-4772
Practice Address - Country:US
Practice Address - Phone:909-623-4964
Practice Address - Fax:909-236-7824
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMANDO LAYGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA366412326251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services