Provider Demographics
NPI:1558729053
Name:PANDA HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:PANDA HOME HEALTHCARE INC
Other - Org Name:PANDA HOME HEALTHCARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUI
Authorized Official - Middle Name:
Authorized Official - Last Name:MIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-486-9232
Mailing Address - Street 1:410 S SAN GABRIEL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1956
Mailing Address - Country:US
Mailing Address - Phone:626-486-9232
Mailing Address - Fax:626-656-6390
Practice Address - Street 1:410 S SAN GABRIEL BLVD
Practice Address - Street 2:#A
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1955
Practice Address - Country:US
Practice Address - Phone:626-617-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health