Kiko'S House LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

306004643 Issued in CA

Legal business name

KIKO'S HOUSE LLC

Practice address

24911 Hendon St
Laguna Hills, CA 92653-4605

Phone

(949) 231-9637

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Doris McQuaid

Title

Owner/Administrator

Phone

(949) 231-9637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1427454834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24911 HENDON ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534605",
            "telephone_number": "949-231-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24911 HENDON ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534605",
            "telephone_number": "949-231-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIKO'S HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "MCQUAID",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "949-231-9637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "306004643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Khosh, PHARM. D
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• Van Kieu, PHARMD
• Lisa Ann Kijak
• Kim O Nguyen O D Inc
• Airee Kim
• Angela Kim, M.D.
• Brian Takemoto Kim, M.D.
• Christine Jeaneun Kim, PMHNP

• Adult Care Home Facility in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.