1578979969 NPI number — ARMANYOUS HEALTHCARE INC

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 1578979969 NPI number — ARMANYOUS HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARMANYOUS HEALTHCARE 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:
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:
1578979969
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3695 ALAMO ST
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
SIMI VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93063-2188
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-306-1636
Provider Business Mailing Address Fax Number:
805-306-1689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3695 ALAMO ST
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
SIMI VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93063-2188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-306-1636
Provider Business Practice Location Address Fax Number:
805-306-1689
Provider Enumeration Date:
07/07/2014

Additional Information

Authorized Official

Authorized Official Last Name:
ARMANYOUS
Authorized Official First Name:
AFIFI
Authorized Official Middle Name:
G.
Authorized Official Title or Position:
PRESIDENT/PIC
Authorized Official Telephone Number:
805-306-1636

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PHY 51901 , 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: PHY 51901 . This is a "STATE BOARD OF PHARMACY LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 56-52474 . This is a "NCPDP NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com