Provider Demographics
NPI:1407058738
Name:CALIFORNIA QUALITY HOME CARE
Entity Type:Organization
Organization Name:CALIFORNIA QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:YATENG
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-274-6377
Mailing Address - Street 1:3343 N PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-8045
Mailing Address - Country:US
Mailing Address - Phone:559-274-6377
Mailing Address - Fax:559-348-1558
Practice Address - Street 1:3343 N PURDUE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-8045
Practice Address - Country:US
Practice Address - Phone:559-274-6377
Practice Address - Fax:559-348-1558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health