1598998262 NPI number — REPRODUCTIVE HEALTH CENTERS INC

Table of content: (NPI 1598998262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598998262 NPI number — REPRODUCTIVE HEALTH CENTERS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REPRODUCTIVE HEALTH CENTERS INC
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:
1598998262
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
435 ARDEN AVE STE 340
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91203-4017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-246-7245
Provider Business Mailing Address Fax Number:
818-246-7265

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13768 ROSWELL AVE
Provider Second Line Business Practice Location Address:
SUITE 109
Provider Business Practice Location Address City Name:
CHINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91710-1401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-246-7245
Provider Business Practice Location Address Fax Number:
818-246-7265
Provider Enumeration Date:
08/28/2009

Additional Information

Authorized Official

Authorized Official Last Name:
DINSAY
Authorized Official First Name:
ROSELYN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
818-246-7245

Provider Taxonomy Codes

  • Taxonomy code: 207VE0102X , with the licence number:  G85448 , 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)

  • Identifier: C3199743 . This is a "DEPT OF CORPORATIONS NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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