1477645927 NPI number — DARBUN ENTERPRISES INCORPORATED

Table of content: (NPI 1477645927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477645927 NPI number — DARBUN ENTERPRISES INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DARBUN ENTERPRISES INCORPORATED
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:
ALL SAINTS HEALTHCARE
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:
1477645927
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11810 SATICOY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HOLLYWOOD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91605-2848
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-982-4600
Provider Business Mailing Address Fax Number:
818-982-6905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11810 SATICOY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HOLLYWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91605-2848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-982-4600
Provider Business Practice Location Address Fax Number:
818-982-6905
Provider Enumeration Date:
09/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SENSIBILE
Authorized Official First Name:
JOHN PAUL
Authorized Official Middle Name:
Authorized Official Title or Position:
HOSPITAL ADMINISTRATOR
Authorized Official Telephone Number:
818-982-4600

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  920000001 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3140N1450X , with the licence number: 920000001 , 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)

  • Identifier: LTC40004F . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: LTP40004F . This is a "SUPPLEMENTAL & REHAB" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: LTC70002F . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZT18002G . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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