Provider Demographics
NPI:1679184014
Name:CDM LIVING LIFE, INC.
Entity Type:Organization
Organization Name:CDM LIVING LIFE, INC.
Other - Org Name:ALWAYS BEST CARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYUWON (ETHAN)
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-299-6900
Mailing Address - Street 1:3665 RUFFIN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1882
Mailing Address - Country:US
Mailing Address - Phone:858-299-6900
Mailing Address - Fax:619-448-8078
Practice Address - Street 1:3665 RUFFIN RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1882
Practice Address - Country:US
Practice Address - Phone:858-299-6900
Practice Address - Fax:619-448-8078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care