Healthcare Provider Details

I. General information

NPI: 1144538059
Provider Name (Legal Business Name): NATIONAL INTRAOPERATIVE MONITORING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 04/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5584 N PARAMOUNT BLVD STE 202
LONG BEACH CA
90805-5133
US

IV. Provider business mailing address

PO BOX 4363
CERRITOS CA
90703-4363
US

V. Phone/Fax

Practice location:
  • Phone: 714-443-3201
  • Fax: 714-443-3202
Mailing address:
  • Phone: 714-443-3201
  • Fax: 714-443-3202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MARY AVILES
Title or Position: PRESIDENT
Credential:
Phone: 714-443-3201