Healthcare Provider Details

I. General information

NPI: 1164025615
Provider Name (Legal Business Name): CIG GROUP, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CONTINENTAL BLVD FL 6
EL SEGUNDO CA
90245-5074
US

IV. Provider business mailing address

400 CONTINENTAL BLVD FL 6
EL SEGUNDO CA
90245-5074
US

V. Phone/Fax

Practice location:
  • Phone: 310-889-8515
  • Fax:
Mailing address:
  • Phone: 310-889-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES ARMSTRONG JR.
Title or Position: C.E.O
Credential:
Phone: 310-889-8515