Provider Demographics
NPI:1649465402
Name:AFFINITY HEALTH CARE PROVIDERS, INC
Entity type:Organization
Organization Name:AFFINITY HEALTH CARE PROVIDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ERNA
Authorized Official - Middle Name:F
Authorized Official - Last Name:FARIN
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:323-259-9821
Mailing Address - Street 1:1551 COLORADO BLVD
Mailing Address - Street 2:STE. 203
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1400
Mailing Address - Country:US
Mailing Address - Phone:323-259-9821
Mailing Address - Fax:323-259-9960
Practice Address - Street 1:1551 COLORADO BLVD
Practice Address - Street 2:STE. 203
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1400
Practice Address - Country:US
Practice Address - Phone:323-259-9821
Practice Address - Fax:323-259-9960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health