Healthcare Provider Details

I. General information

NPI: 1912747973
Provider Name (Legal Business Name): IV WITH ME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 EL PASO DR
NORCO CA
92860-3852
US

IV. Provider business mailing address

1210 HAMNER AVE # 1033
NORCO CA
92860-3117
US

V. Phone/Fax

Practice location:
  • Phone: 818-974-1351
  • Fax:
Mailing address:
  • Phone: 818-974-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LARYSSA FLORES
Title or Position: PRESIDENT, CFO
Credential: RN
Phone: 818-974-1351