Healthcare Provider Details

I. General information

NPI: 1255705513
Provider Name (Legal Business Name): INFOTECH INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 11/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8527 ALONDRA BLVD #174
PARAMOUNT CA
90723-5255
US

IV. Provider business mailing address

8527 ALONDRA BLVD #174
PARAMOUNT CA
90723-5255
US

V. Phone/Fax

Practice location:
  • Phone: 562-804-1239
  • Fax: 562-866-7739
Mailing address:
  • Phone: 562-804-1239
  • Fax: 562-866-7739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. AMITA GARG
Title or Position: DIRECTOR
Credential:
Phone: 562-804-1239