Active NPI
Kiz LLC
Doing business as Epoca Dorada Adchs
- Adult Day Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1730953415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.