Provider Demographics
NPI:1942571765
Name:SALUDES GOLDEN SON INC.
Entity Type:Organization
Organization Name:SALUDES GOLDEN SON INC.
Other - Org Name:VISION FOR LIFE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIE JOHN
Authorized Official - Middle Name:PEREZ
Authorized Official - Last Name:SALUDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-359-2131
Mailing Address - Street 1:2713 AMANDA ST
Mailing Address - Street 2:STE A
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-4736
Mailing Address - Country:US
Mailing Address - Phone:626-820-2358
Mailing Address - Fax:
Practice Address - Street 1:2713 AMANDA ST
Practice Address - Street 2:STE A
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-4736
Practice Address - Country:US
Practice Address - Phone:626-820-2358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3134671253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care