1912197187 NPI number — GLOBAL EXECUTIVE RESOURCES, LLC

Table of content: (NPI 1912197187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912197187 NPI number — GLOBAL EXECUTIVE RESOURCES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL EXECUTIVE RESOURCES, LLC
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:
1912197187
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/25/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3419 VIA LIDO
Provider Second Line Business Mailing Address:
#176
Provider Business Mailing Address City Name:
NEWPORT BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92663-3908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-258-5113
Provider Business Mailing Address Fax Number:
949-258-5113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
457 SHAN XI NORTH ROAD
Provider Second Line Business Practice Location Address:
BLOCK 1 ROOM 115
Provider Business Practice Location Address City Name:
SHANGHAI
Provider Business Practice Location Address State Name:
SHANGHAI
Provider Business Practice Location Address Postal Code:
200040
Provider Business Practice Location Address Country Code:
CN
Provider Business Practice Location Address Telephone Number:
862161418630
Provider Business Practice Location Address Fax Number:
862158771438
Provider Enumeration Date:
07/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NEEDHAM
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
LESLIE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
714-391-3842

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFC9107 , 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)