Provider Demographics
NPI:1770005639
Name:CALIFORNIA COMFORT CARE LLC
Entity Type:Organization
Organization Name:CALIFORNIA COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:R
Authorized Official - Last Name:VILLAFLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:626-272-2754
Mailing Address - Street 1:536 S 2ND AVE STE C
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3043
Mailing Address - Country:US
Mailing Address - Phone:626-272-2754
Mailing Address - Fax:
Practice Address - Street 1:536 S 2ND AVE STE C
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3043
Practice Address - Country:US
Practice Address - Phone:626-272-2754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2017187105502279P3800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279P3800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPalliative/HospiceGroup - Single Specialty