Healthcare Provider Details

I. General information

NPI: 1003752064
Provider Name (Legal Business Name): MONARCH VERTEX SOFTWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 KELVIN AVE APT 507
IRVINE CA
92614-5893
US

IV. Provider business mailing address

2853 KELVIN AVE APT 507
IRVINE CA
92614-5893
US

V. Phone/Fax

Practice location:
  • Phone: 714-788-3292
  • Fax:
Mailing address:
  • Phone: 714-788-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL SHOKROLLAH
Title or Position: OWNER
Credential:
Phone: 714-788-3292