1740748540 NPI number — ALL CARE PARTNERS, INC.

Table of content: MR. MINH THE HUYNH OTL (NPI 1013137884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740748540 NPI number — ALL CARE PARTNERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL CARE PARTNERS, 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:
1740748540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17777 CENTER COURT DR N STE 607
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CERRITOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90703-8567
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-526-9493
Provider Business Mailing Address Fax Number:
562-865-6453

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17777 CENTER COURT DR N STE 607
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CERRITOS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90703-8567
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-526-9493
Provider Business Practice Location Address Fax Number:
562-865-6453
Provider Enumeration Date:
03/11/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DEGAMO
Authorized Official First Name:
RALPH JOSEPH
Authorized Official Middle Name:
OBLIGAR
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
562-526-9493

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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