Provider Demographics
NPI:1386855856
Name:L AND N INC
Entity Type:Organization
Organization Name:L AND N INC
Other - Org Name:ANA S ICF DDN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PAGADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-922-9920
Mailing Address - Street 1:655 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-3423
Mailing Address - Country:US
Mailing Address - Phone:650-922-9920
Mailing Address - Fax:
Practice Address - Street 1:655 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-3423
Practice Address - Country:US
Practice Address - Phone:650-922-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220000329315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05G942OtherMEDICAID NUMBER