1194843482 NPI number — CARMELITA H.MAPOY.M.D.INC.

Table of content: (NPI 1194843482)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194843482 NPI number — CARMELITA H.MAPOY.M.D.INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARMELITA H.MAPOY.M.D.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:
1194843482
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19321 POSEIDON AVE
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:
90703-6820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-630-3411
Provider Business Mailing Address Fax Number:
562-630-2282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9542 ARTESIA BLVD
Provider Second Line Business Practice Location Address:
BELLFLOWER HOSPITAL ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
BELLFLOWER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90706-6511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-925-8355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MAPOY
Authorized Official First Name:
CARMELITA
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
PRES.
Authorized Official Telephone Number:
562-630-3411

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  A54150 , 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)