1891986279 NPI number — ARMANDO HUARINGA MD INC

Table of content: (NPI 1891986279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891986279 NPI number — ARMANDO HUARINGA MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARMANDO HUARINGA MD 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:
1891986279
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 E CESAR CHAVEZ AVE
Provider Second Line Business Mailing Address:
SUITE 3300
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90033-2469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-260-5863
Provider Business Mailing Address Fax Number:
626-931-2458

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 E CESAR E CHAVEZ AVE
Provider Second Line Business Practice Location Address:
SUITE 3300
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90033-2424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-260-5863
Provider Business Practice Location Address Fax Number:
626-931-2458
Provider Enumeration Date:
08/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HUARINGA
Authorized Official First Name:
ARMANDO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MEDICAL DIRECTOR/PRESIDENT
Authorized Official Telephone Number:
323-260-5863

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  A44240 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , with the licence number: A44240 , 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: 00A442400 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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