1013209709 NPI number — EASY BREATHE, INC.

Table of content: MS. SHARON REYNOLDS FLESCHNER MA (NPI 1861695355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013209709 NPI number — EASY BREATHE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASY BREATHE, 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:
1013209709
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11859 WILSHIRE BLVD
Provider Second Line Business Mailing Address:
SUITE 602
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90025-6616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-564-2252
Provider Business Mailing Address Fax Number:
877-883-9709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11859 WILSHIRE BLVD
Provider Second Line Business Practice Location Address:
SUITE 602
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90025-6616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-564-2252
Provider Business Practice Location Address Fax Number:
877-883-9709
Provider Enumeration Date:
05/12/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WEISS
Authorized Official First Name:
NICHOLAS
Authorized Official Middle Name:
IAN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
310-479-1935

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  58265 , 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)