Provider Demographics
NPI:1922866839
Name:PINNACLE HEALTH MAYDEE, LLC
Entity Type:Organization
Organization Name:PINNACLE HEALTH MAYDEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-272-9058
Mailing Address - Street 1:150 N SANTA ANITA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3116
Mailing Address - Country:US
Mailing Address - Phone:626-272-9058
Mailing Address - Fax:
Practice Address - Street 1:540 MAYDEE ST
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3126
Practice Address - Country:US
Practice Address - Phone:626-531-6537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility