Provider Demographics
NPI:1164739348
Name:RITZCARE
Entity Type:Organization
Organization Name:RITZCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-581-7237
Mailing Address - Street 1:2707 E. VALLEY BLVD
Mailing Address - Street 2:SUITE 307-A
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792
Mailing Address - Country:US
Mailing Address - Phone:626-581-7237
Mailing Address - Fax:626-581-2270
Practice Address - Street 1:2707 E. VALLEY BLVD
Practice Address - Street 2:SUITE 307-A
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792
Practice Address - Country:US
Practice Address - Phone:626-581-7237
Practice Address - Fax:626-581-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No305R00000XManaged Care OrganizationsPreferred Provider Organization