Provider Demographics
NPI:1730414681
Name:UMANA CARE LLC.
Entity type:Organization
Organization Name:UMANA CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EHKY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:ED
Authorized Official - Phone:714-673-9208
Mailing Address - Street 1:1800 N BUSH ST
Mailing Address - Street 2:101
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2852
Mailing Address - Country:US
Mailing Address - Phone:714-568-0048
Mailing Address - Fax:714-922-6038
Practice Address - Street 1:1800 N BUSH ST
Practice Address - Street 2:101
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2852
Practice Address - Country:US
Practice Address - Phone:714-568-0048
Practice Address - Fax:714-922-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-10
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2017678291U00000X
CA550001532251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No291U00000XLaboratoriesClinical Medical Laboratory