1598944811 NPI number — LAKE HAVASU OB/GYN, PC

Table of content: (NPI 1598944811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598944811 NPI number — LAKE HAVASU OB/GYN, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAKE HAVASU OB/GYN, PC
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:
1598944811
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
99 RIVIERA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE HAVASU CITY
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86403-5713
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-680-2846
Provider Business Mailing Address Fax Number:
928-680-2845

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
99 RIVIERA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE HAVASU CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86403-5713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-680-2846
Provider Business Practice Location Address Fax Number:
928-680-2845
Provider Enumeration Date:
11/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
URSO
Authorized Official First Name:
MARY JO
Authorized Official Middle Name:
VITA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
928-680-2846

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  3696 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM2500X , with the licence number: 20A8265 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 434157 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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