Abundant Life Assisted Living LLC

Organization Active NPI Assisted Living Facility · Los Angeles, CA

NPI 1003762014 · NPPES record last updated Mar 10, 2026

Key facts

NPI
1003762014
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
ABUNDANT LIFE ASSISTED LIVING LLC
Practice address
1201 W 75TH St
Los Angeles, CA 90044-2405
Phone
(310) 926-7574
NPI assigned
Mar 10, 2026
Organization subpart
No

Authorized official

Name
Quianna Street NPI 1871378661
Title
Licensee
Phone
(310) 696-9555

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

1201 W 75TH St
Los Angeles, CA 90044-2405

Mailing address

7252 Archibald Ave # 543
Rancho Cucamonga, CA 91701-5017
Phone (310) 926-7574

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Assisted Living Facility in California

Sources for this page

Verify at the official NPI Registry.