Angel City Senior LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ANGEL CITY SENIOR LLC

Practice address

409 N Pacific Coast Hwy Ste 610
Redondo Beach, CA 90277-2870

Phone

(310) 342-0961

NPI assigned

Jan 16, 2023

Last updated

Jan 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Rogers

Title

Ceo

Phone

(310) 342-0961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1922713742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N PACIFIC COAST HWY STE 610",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772870",
            "telephone_number": "310-342-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N PACIFIC COAST HWY STE 610",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772870",
            "telephone_number": "310-342-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CITY SENIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-342-0961"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.