Fire Dragon Investment, LLC.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

198601766 Issued in CA

Legal business name

FIRE DRAGON INVESTMENT, LLC.

Practice address

21515 Figueroa St
Carson, CA 90745-1947

Phone

(310) 328-5116

Fax

(310) 328-9170

NPI assigned

Apr 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalynn Phuong Le

Title

Ceo

Phone

(714) 651-1131

Specialties & licenses 1

Addresses

Other names 1

• Olivia Isabel Manor Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1184010654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 FIGUEROA ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451947",
            "telephone_number": "310-328-5116",
            "fax_number": "310-328-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 FIGUEROA ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451947",
            "telephone_number": "310-328-5116",
            "fax_number": "310-328-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE DRAGON INVESTMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-12",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ROSALYNN",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-651-1131"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "198601766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivia Isabel Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darren Ferns
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• Mary Alice Flowers, MD

• Assisted Living Facility (Mental Illness) in Carson, CA
• Providers in Carson, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.