1700190865 NPI number — EFFICIENT CARE, LLC

Table of content: (NPI 1700190865)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700190865 NPI number — EFFICIENT CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EFFICIENT CARE, LLC
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:
1700190865
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3333 MENTONE AVE
Provider Second Line Business Mailing Address:
APT # 9
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90034-4668
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-403-6593
Provider Business Mailing Address Fax Number:
424-298-8701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22750 HAWTHORNE BLVD
Provider Second Line Business Practice Location Address:
SUITE # 222
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90505-3664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-403-6593
Provider Business Practice Location Address Fax Number:
424-298-8701
Provider Enumeration Date:
07/31/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SILIKA
Authorized Official First Name:
LITOFE
Authorized Official Middle Name:
SLOJ
Authorized Official Title or Position:
CEO/ BUSINESS DEVELOPMENT MANAGER
Authorized Official Telephone Number:
323-403-6593

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , 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: 201014410095 . This is a "CALIFORNIA LLC NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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