1346798105 NPI number — THE MONTEREY TRELLIS

Table of content: (NPI 1346798105)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346798105 NPI number — THE MONTEREY TRELLIS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE MONTEREY TRELLIS
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:
1346798105
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8914 TROY ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91977
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-697-4656
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8914 TROY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91977-2609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-697-4656
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MICHEL
Authorized Official First Name:
RODNEY
Authorized Official Middle Name:
P
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
619-846-0730

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  374601400 , 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)