1689905564 NPI number — PREMIER HEALTH SERVICES INC

Table of content: (NPI 1689905564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689905564 NPI number — PREMIER HEALTH SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER HEALTH SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689905564
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13659 VICTORY BLVD
Provider Second Line Business Mailing Address:
STE 690
Provider Business Mailing Address City Name:
VAN NUYS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91401-1735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-302-3402
Provider Business Mailing Address Fax Number:
818-647-0359

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7136 HASKELL AVE
Provider Second Line Business Practice Location Address:
STE 125
Provider Business Practice Location Address City Name:
VAN NUYS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91406-4112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-302-3402
Provider Business Practice Location Address Fax Number:
818-647-0359
Provider Enumeration Date:
01/17/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
UEDA
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
818-302-3402

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  A94410 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)