1144423476 NPI number — PRECISION ASPIRATION AND BIOPSY

Table of content: (NPI 1144423476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144423476 NPI number — PRECISION ASPIRATION AND BIOPSY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRECISION ASPIRATION AND BIOPSY
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:
1144423476
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2311
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHATSWORTH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91313-2311
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-718-9500
Provider Business Mailing Address Fax Number:
818-718-9507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
914 N BEVERLY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90210-2913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
370-702-6701
Provider Business Practice Location Address Fax Number:
818-718-9507
Provider Enumeration Date:
06/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NADELMAN
Authorized Official First Name:
CELINA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
310-702-6701

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1144423476 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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