West Covina Adult Day Services, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WEST COVINA ADULT DAY SERVICES, INC.

Doing business as

Cameron Adult Day Health Care Center

Practice address

1501 W Cameron Ave Ste 100
West Covina, CA 91790-2724

Phone

(714) 512-0016

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Kawon Lee

Title

Executive Director / Administrator

Phone

(714) 512-0016

Specialties & licenses 1

Addresses

Other names 1

• Cameron Adult Day Health Care Center Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1841774080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 COMMONWEALTH AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CAMERON AVE STE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902724",
            "telephone_number": "714-512-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA ADULT DAY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAWON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / ADMINISTRATOR",
        "authorized_official_telephone_number": "714-512-0016"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• West Covina Dental Group (Karim Zaklama DentalCorporation)
• West Covina Home Care LLC
• West Covina Home Health Care LLC

• Adult Day Care Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.