Provider Demographics
NPI:1528194297
Name:PHILEMON HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:PHILEMON HEALTHCARE CORPORATION
Other - Org Name:SARANG ADULT DAY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HYONG
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-236-0852
Mailing Address - Street 1:5171 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2906
Mailing Address - Country:US
Mailing Address - Phone:714-236-0852
Mailing Address - Fax:714-236-0021
Practice Address - Street 1:5171 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2906
Practice Address - Country:US
Practice Address - Phone:714-236-0852
Practice Address - Fax:714-236-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
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