1437409810 NPI number — JOSEPH L. DUMOVIC, DC, ND, INC, PS

Table of content: ALINA RAYAMAJHI (NPI 1770254286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437409810 NPI number — JOSEPH L. DUMOVIC, DC, ND, INC, PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH L. DUMOVIC, DC, ND, INC, PS
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:
6
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:
1437409810
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2980 N BEVERLY GLEN CIRCLE
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
LOS ANGLES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90077
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-474-9809
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3480 S 152ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUKWILA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-244-5216
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
DUMOVIC
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
206-244-5216

Provider Taxonomy Codes

  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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