1003238510 NPI number — EBMD, P.C.

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 1003238510 NPI number — EBMD, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EBMD, P.C.
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:
1003238510
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1526
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91031-1526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-545-1121
Provider Business Mailing Address Fax Number:
949-258-5551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5353 G ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91710-5249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-590-3700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/17/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BALCOS
Authorized Official First Name:
ENRICO
Authorized Official Middle Name:
URO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
949-545-1121

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  A63363 , 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: 00A633630 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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