NPI 1003762014
Abundant Life Assisted Living LLC
Practice location
- Address
- 1201 W 75th St, Los Angeles, CA 90044-2405
- Phone
- (310) 926-7574
- Mailing address
- 7252 Archibald Ave # 543, Rancho Cucamonga, CA 91701-5017
Authorised official
- Name
- Quianna Street
- Title
- Licensee
- Phone
- (310) 696-9555
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1003762014
- Entity type
- Organization
- NPI issued
- 10 Mar 2026
- Record last updated
- 10 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.