1659764678 NPI number — A-Z PROFESSIONAL RESOURCES, INC.

Table of content: (NPI 1659764678)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659764678 NPI number — A-Z PROFESSIONAL RESOURCES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A-Z PROFESSIONAL RESOURCES, 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:
1659764678
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 61326
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRVINE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92602-6044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-268-8607
Provider Business Mailing Address Fax Number:
951-461-7074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2617 E CHAPMAN AVE
Provider Second Line Business Practice Location Address:
SUITE #101
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92869-3226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-365-8587
Provider Business Practice Location Address Fax Number:
888-371-1866
Provider Enumeration Date:
03/16/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LAI
Authorized Official First Name:
ALBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
888-268-8607

Provider Taxonomy Codes

  • Taxonomy code: 208VP0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 302R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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