Healthcare Provider Details

I. General information

NPI: 1073794897
Provider Name (Legal Business Name): SAVAKOR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 W COMPTON BLVD
COMPTON CA
90220-3012
US

IV. Provider business mailing address

637 W COMPTON BLVD
COMPTON CA
90220-3012
US

V. Phone/Fax

Practice location:
  • Phone: 313-764-4976
  • Fax: 319-764-4185
Mailing address:
  • Phone: 313-764-4976
  • Fax: 319-764-4185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JC TUBBS JR.
Title or Position: CEO
Credential:
Phone: 310-764-4976