Organization Active NPI

Da Zhen Travel Agency

Doing business as La Puente Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • La Puente, CA
National Provider Identifier
1780741090
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000836 Issued in CA
Legal business name
DA ZHEN TRAVEL AGENCY
Doing business as
La Puente Adult Day Health Care Center
Practice address
17331 E Valley Blvd
La Puente, CA 91744-5653
Phone
(626) 581-1113
Fax
(626) 934-7986
NPI assigned
Jan 3, 2007
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Xueyue Song
Title
Ceo
Phone
(626) 877-6287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000836 CA Primary

Addresses

Primary practice location

17331 E Valley Blvd
La Puente, CA 91744-5653

Mailing address

17331 E Valley Blvd
La Puente, CA 91744-5653
Phone (626) 581-1113

Other identifiers 1

IdentifierTypeStateIssuer
060000836MedicaidCA

Other names 1

  • La Puente Adult Day Health Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1002336La Puente Adult Day Health Care17331 Valley Blvd, La Puente, CA 91744Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

656 Glendora Ave
La Puente, CA 91744

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1780741090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17331 E VALLEY BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445653",
            "telephone_number": "626-581-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17331 E VALLEY BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445653",
            "telephone_number": "626-581-1113",
            "fax_number": "626-934-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA ZHEN TRAVEL AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "XUEYUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-877-6287"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060000836",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Puente Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.