Healthcare Provider Details

I. General information

NPI: 1699643619
Provider Name (Legal Business Name): MY HOMIES KITCHEN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 P ST STE 101
FRESNO CA
93721-2712
US

IV. Provider business mailing address

744 P ST STE 101
FRESNO CA
93721-2712
US

V. Phone/Fax

Practice location:
  • Phone: 559-420-9259
  • Fax:
Mailing address:
  • Phone: 559-420-9259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ALEXANDER ROMEO ZUBIA
Title or Position: CEO/FOUNDER
Credential:
Phone: 805-538-6022