NPI 1336669803

K & J 1602 Managment Incorporate

Organisation Intellectual Disabilities Intermediate Care Facility Pomona, CA

Practice location

Address: 1602 Regene St, Pomona, CA 91766-5316
Phone: (909) 217-6817

Authorised official

Name: Valeria Al Khawaja
Title: Ceo
Phone: (909) 217-6817

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1336669803
Entity type: Organization
NPI issued: 26 Jun 2017
Record last updated: 18 Dec 2023

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.