1346439676 NPI number — NORMA LETICIA OSHITA MS DEGREE

Table of content: NORMA LETICIA OSHITA MS DEGREE (NPI 1346439676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346439676 NPI number — NORMA LETICIA OSHITA MS DEGREE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSHITA
Provider First Name:
NORMA
Provider Middle Name:
LETICIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS DEGREE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARAJAS
Provider Other First Name:
NORMA
Provider Other Middle Name:
LETICIA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MASTERS DEGREE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1346439676
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1111 E TAHQUITZ CANYON WAY STE 117
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALM SPRINGS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92262-6788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-972-6882
Provider Business Mailing Address Fax Number:
760-320-3733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 TAHQUITZ CANYON WAY SUITE 117
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM SPRINGS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92262-4880
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-972-6882
Provider Business Practice Location Address Fax Number:
760-320-3733
Provider Enumeration Date:
10/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  IMF60108 , 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)





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