Provider Demographics
NPI:1205030624
Name:FIRST VENTURES,INC
Entity Type:Organization
Organization Name:FIRST VENTURES,INC
Other - Org Name:RAMONA ADULT DAY HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FAJARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-960-9757
Mailing Address - Street 1:13310 RAMONA BLVD
Mailing Address - Street 2:STE K
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-3860
Mailing Address - Country:US
Mailing Address - Phone:626-960-9757
Mailing Address - Fax:626-960-5787
Practice Address - Street 1:13310 RAMONA BLVD
Practice Address - Street 2:STE K
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3860
Practice Address - Country:US
Practice Address - Phone:626-960-9757
Practice Address - Fax:626-960-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6525033Medicare UPIN