Healthcare Provider Details

I. General information

NPI: 1144464710
Provider Name (Legal Business Name): SIMPLE SOLUTIONS ERRAND SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2009
Last Update Date: 04/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1279 N WILLAMETTE DR
ANAHEIM CA
92807-2424
US

IV. Provider business mailing address

1077 PACIFIC COAST HWY SUITE 151
SEAL BEACH CA
90740-6214
US

V. Phone/Fax

Practice location:
  • Phone: 714-272-4575
  • Fax: 714-844-4353
Mailing address:
  • Phone: 714-272-4575
  • Fax: 714-844-4353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA KAY PUERLING
Title or Position: PRESIDENT
Credential:
Phone: 714-272-4575