Provider Demographics
NPI:1659432284
Name:HEALTH GUARD ADULT DAY HEALTH CARE
Entity Type:Organization
Organization Name:HEALTH GUARD ADULT DAY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-683-5400
Mailing Address - Street 1:894 N. FAIR OAKS AVE.
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3010
Mailing Address - Country:US
Mailing Address - Phone:626-683-5400
Mailing Address - Fax:626-683-5756
Practice Address - Street 1:894 N FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3046
Practice Address - Country:US
Practice Address - Phone:626-683-5400
Practice Address - Fax:626-683-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
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
CAADU70191FMedicare ID - Type UnspecifiedADULT DAY HEALTH CARE