1831373612 NPI number — TITA DE GUZMAN INSURANCE AGENCY INC

Table of content: (NPI 1831373612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831373612 NPI number — TITA DE GUZMAN INSURANCE AGENCY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TITA DE GUZMAN INSURANCE AGENCY 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:
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:
1831373612
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1241 SOUTH GRAND AVE
Provider Second Line Business Mailing Address:
SUITE H
Provider Business Mailing Address City Name:
DIAMOND BAR
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91765
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-348-0444
Provider Business Mailing Address Fax Number:
909-348-0439

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11417 183RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARTESIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90701-5501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-809-6098
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DE GUZMAN
Authorized Official First Name:
TITA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/LICENSEE
Authorized Official Telephone Number:
909-348-0444

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X , with the licence number:  960000925 , 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)





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