1942657630 NPI number — INTERIM INC

Table of content: MISS LINDA WANG M.S.W. (NPI 1770034456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942657630 NPI number — INTERIM INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTERIM 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:
1942657630
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
604 PEARL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTEREY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93940-3070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-646-2220
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
229 PAJARO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93901-3499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-800-7530
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
831-800-7530

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  LMFT 91048 , 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)