Provider Demographics
NPI:1164963666
Name:THE ALDER CORPORATION
Entity Type:Organization
Organization Name:THE ALDER CORPORATION
Other - Org Name:EL TORO ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAWON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-512-0016
Mailing Address - Street 1:24300 EL TORO RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2737
Mailing Address - Country:US
Mailing Address - Phone:949-457-2275
Mailing Address - Fax:949-457-2265
Practice Address - Street 1:24300 EL TORO RD
Practice Address - Street 2:BUILDING A
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2737
Practice Address - Country:US
Practice Address - Phone:949-457-2275
Practice Address - Fax:949-457-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550003811261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550003811OtherSTATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH