Provider Demographics
NPI:1093945305
Name:CHULA RAMA, INC.
Entity Type:Organization
Organization Name:CHULA RAMA, INC.
Other - Org Name:EMERALD HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YICHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-864-1252
Mailing Address - Street 1:3020 OLD RANCH PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2765
Mailing Address - Country:US
Mailing Address - Phone:626-864-1252
Mailing Address - Fax:562-799-5501
Practice Address - Street 1:3020 OLD RANCH PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-2765
Practice Address - Country:US
Practice Address - Phone:626-864-1252
Practice Address - Fax:562-799-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANAMedicaid