1265810576 NPI number — ALGOS INC., A MEDICAL CORPORATION

Table of content: (NPI 1265810576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265810576 NPI number — ALGOS INC., A MEDICAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALGOS INC., A MEDICAL CORPORATION
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:
SYNOVATION MEDICAL GROUP
Provider Other Organization Name Type Code:
3
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:
1265810576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 515800
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90051-5800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-493-3800
Provider Business Mailing Address Fax Number:
909-204-7868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3231 WARING CT STE K
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92056-4510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-607-5350
Provider Business Practice Location Address Fax Number:
760-607-5365
Provider Enumeration Date:
05/07/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VARGA
Authorized Official First Name:
CLAYTON
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
626-696-1400

Provider Taxonomy Codes

  • Taxonomy code: 103TB0200X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208100000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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