1831564483 NPI number — BIO GENETISYS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831564483 NPI number — BIO GENETISYS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIO GENETISYS, 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:
1831564483
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
471 W LAMBERT RD
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
BREA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92821-3921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-257-9344
Provider Business Mailing Address Fax Number:
714-257-9348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
471 W LAMBERT RD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
BREA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92821-3921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-257-9344
Provider Business Practice Location Address Fax Number:
714-257-9348
Provider Enumeration Date:
12/08/2015

Additional Information

Authorized Official

Authorized Official Last Name:
KARAPETYAN
Authorized Official First Name:
KATERINA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
714-257-9344

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  CLF348708 , 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: CLF348708 . This is a "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH-LABORATORY FIELD SERVICES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com