1235315326 NPI number — HEALTH NET LIFE INSURANCE COMPANY

Table of content: (NPI 1235315326)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235315326 NPI number — HEALTH NET LIFE INSURANCE COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH NET LIFE INSURANCE COMPANY
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:
HEALTH NET OF OREGON
Provider Other Organization Name Type Code:
5
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:
1235315326
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21650 OXNARD ST
Provider Second Line Business Mailing Address:
MAIL STOP: CA-102-22-12
Provider Business Mailing Address City Name:
WOODLAND HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91367-4901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-676-8454
Provider Business Mailing Address Fax Number:
818-676-8446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13221 SW 68TH PKWY
Provider Second Line Business Practice Location Address:
MAIL STOP: OR-100-03-09
Provider Business Practice Location Address City Name:
TIGARD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97223-8328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-213-5385
Provider Business Practice Location Address Fax Number:
503-213-5182
Provider Enumeration Date:
01/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WOYS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT HEALTH NET LIFE INSURANCE
Authorized Official Telephone Number:
818-676-8454

Provider Taxonomy Codes

  • Taxonomy code: 305R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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