Healthcare Provider Details

I. General information

NPI: 1770611360
Provider Name (Legal Business Name): PRN TEMPS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 S EUCLID ST
ANAHEIM CA
92802-2001
US

IV. Provider business mailing address

1319 S EUCLID ST
ANAHEIM CA
92802-2001
US

V. Phone/Fax

Practice location:
  • Phone: 714-678-2727
  • Fax: 714-678-2714
Mailing address:
  • Phone: 714-678-2727
  • Fax: 714-678-2714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BLAIR C HANLOH
Title or Position: CFO
Credential:
Phone: 714-678-2727