1598192478 NPI number — ASIA PACIFIC COMPREHENSIVE STROKE NETWORK

Table of content: DR. ROBERT WILLIAM HERBST MD (NPI 1043241524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598192478 NPI number — ASIA PACIFIC COMPREHENSIVE STROKE NETWORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASIA PACIFIC COMPREHENSIVE STROKE NETWORK
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:
1598192478
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1798 N GAREY AVE
Provider Second Line Business Mailing Address:
2ND FLOOR CATH LAB/NEUROINTERVENTIONAL
Provider Business Mailing Address City Name:
POMONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91767-2918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-962-8441
Provider Business Mailing Address Fax Number:
909-865-9945

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1798 N GAREY AVE
Provider Second Line Business Practice Location Address:
CATH LAB/NEUROINTERVENTIONAL
Provider Business Practice Location Address City Name:
POMONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91767-2918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-962-8441
Provider Business Practice Location Address Fax Number:
909-865-9945
Provider Enumeration Date:
10/08/2013

Additional Information

Authorized Official

Authorized Official Last Name:
JANJUA
Authorized Official First Name:
NAZLI
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
917-574-4863

Provider Taxonomy Codes

  • Taxonomy code: 2084V0102X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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