Institute On Aging - Southern California LLC
NPI #1316445414 in Ontario, California
Provider Information
- NPI Number
- 1316445414
- Entity Type
- Organization
- Organization Name
- Institute On Aging - Southern California LLC
- Primary Specialty
- Case Management
- Enumeration Date
- Jan 24, 2018
- Last Updated
- Nov 3, 2023
Practice Location
- Address
- 3200 E GUASTI RD STE 173
- City
- Ontario
- State
- California
- ZIP Code
- 91761-8660
- Phone
- (415) 823-6215
Authorized Official
- Name
- MRS. ROXANA R BLADES
- Title
- CHIEF FINANCIAL AND ADMIN OFFICER
- Phone
- (415) 750-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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