Organization Active NPI

Kiz LLC

Doing business as Epoca Dorada Adchs

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1730953415
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KIZ LLC
Doing business as
Epoca Dorada Adchs
Practice address
4055 E Olympic Blvd Ste 205
Los Angeles, CA 90023-3345
Phone
(323) 725-1144
Fax
(323) 725-1153
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
William Martinez, PA-C
Title
President
Phone
(213) 483-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4055 E Olympic Blvd Ste 205
Los Angeles, CA 90023-3345

Mailing address

4055 E Olympic Blvd Ste 205
Los Angeles, CA 90023-3345
Phone (323) 725-1144

Other names 1

  • EPOCA DORADA ADCHS Doing business as

National Provider Directory

National Provider Directory

Locations

4055 E Olympic Blvd
Ste 205
Los Angeles, CA 90023
Phone (323) 725-1144

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1730953415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 E OLYMPIC BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233345",
            "telephone_number": "323-725-1144",
            "fax_number": "323-725-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 E OLYMPIC BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233345",
            "telephone_number": "323-725-1144",
            "fax_number": "323-725-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-483-3600",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCA DORADA ADCHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.