1780344739 NPI number — C & M COMFORT HOME LLC

Table of content: MADELAINE RAMOS SALDIVAR MD (NPI 1417900945)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780344739 NPI number — C & M COMFORT HOME LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C & M COMFORT HOME LLC
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:
1780344739
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24662 MANTEE PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORENO VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92553-3886
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-378-5820
Provider Business Mailing Address Fax Number:
951-378-5820

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24662 MANTEE PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORENO VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92553-3886
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-378-5820
Provider Business Practice Location Address Fax Number:
951-378-5820
Provider Enumeration Date:
12/17/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COURT
Authorized Official First Name:
CHRISITAN
Authorized Official Middle Name:
NDUKA
Authorized Official Title or Position:
LLC MEMBER
Authorized Official Telephone Number:
951-378-5820

Provider Taxonomy Codes

  • Taxonomy code: 311ZA0620X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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