1093277485 NPI number — AMERICAN SURGICAL MEDICAL SUPPLY INC

Table of content: MS. SHARON ZYNC ALPER ACSW LICSW (NPI 1538244934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093277485 NPI number — AMERICAN SURGICAL MEDICAL SUPPLY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN SURGICAL MEDICAL SUPPLY 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:
1093277485
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6965 EL CAMINO REAL # 105-253
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARLSBAD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92009-4100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-599-8800
Provider Business Mailing Address Fax Number:
760-599-8844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24735 REDLANDS BLVD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOMA LINDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92354-4033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-611-7205
Provider Business Practice Location Address Fax Number:
909-366-5988
Provider Enumeration Date:
04/03/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NEWSOME
Authorized Official First Name:
ALLEN
Authorized Official Middle Name:
LAFAYETTE
Authorized Official Title or Position:
VICE PRESIDNET
Authorized Official Telephone Number:
760-599-8800

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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