Axalan Cunanan LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AXALAN CUNANAN LLC

Practice address

5203 Josie Ave
Lakewood, CA 90713-2110

Phone

(720) 530-9218

NPI assigned

Nov 20, 2024

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Axalan

Title

Owner

Phone

(720) 530-9218

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1336964881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 JOSIE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132110",
            "telephone_number": "720-530-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 JOSIE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132110",
            "telephone_number": "720-530-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXALAN CUNANAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "AXALAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-530-9218"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.