<Unavail>

LBN: Rancho Haven Care Llc
<Unavail> is an health care organization with primary practice located at 9170 Haven Ave Ste 122, Rancho Cucamonga CA 91730-5416. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rancho Haven Care Llc can be contacted via phone (909) 989-2899, or through Sojitra, Gopal D via phone (909) 764-3060.

Contact Information

Primary practice address
9170 Haven Ave Ste 122 Rancho Cucamonga CA 91730-5416
Phone: (909) 989-2899
Fax: (909) 945-5443
Website:
Map and Directions
Authorized official contact:
Name: Sojitra, Gopal D
Phone: (909) 764-3060

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 51991 California

Profile Details

NPI number 1548514961
LBN Legal business name Rancho Haven Care Llc
DBA Doing business as <Unavail>
Authorized official Sojitra, Gopal D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2012
Last updated Nov 22nd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548514961 NPPES
Other 2151673 PK
MEDICAID 1548514961 PK

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