Provider Demographics
NPI:1730352378
Name:LA METROPOLITAN HOME HEALTH, INCORPORATED
Entity type:Organization
Organization Name:LA METROPOLITAN HOME HEALTH, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:SANTOS
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LVN CHCA
Authorized Official - Phone:562-246-0770
Mailing Address - Street 1:17100 PIONEER BOULEVARD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-2740
Mailing Address - Country:US
Mailing Address - Phone:562-246-0770
Mailing Address - Fax:562-246-0780
Practice Address - Street 1:17100 PIONEER BOULEVARD
Practice Address - Street 2:SUITE 313
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-2740
Practice Address - Country:US
Practice Address - Phone:562-246-0770
Practice Address - Fax:562-246-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000441251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health