Healthcare Provider Details

I. General information

NPI: 1316489024
Provider Name (Legal Business Name): 11 HEALTH AND TECHNOLOGIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2016
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HUGHES STE 200
IRVINE CA
92618-2075
US

IV. Provider business mailing address

8 HUGHES STE 200
IRVINE CA
92618-2075
US

V. Phone/Fax

Practice location:
  • Phone: 657-266-0570
  • Fax: 657-304-0575
Mailing address:
  • Phone: 657-266-0570
  • Fax: 657-304-6829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BERNHARD GILBEY I
Title or Position: STRATEGY DIRECTOR
Credential:
Phone: 714-932-2245