Healthcare Provider Details

I. General information

NPI: 1992074660
Provider Name (Legal Business Name): A-FORDABLE BILLING SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2011
Last Update Date: 12/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 N ALTADENA DR SUITE 222
PASADENA CA
91107-7318
US

IV. Provider business mailing address

171 N ALTADENA DR SUITE 222
PASADENA CA
91107-7318
US

V. Phone/Fax

Practice location:
  • Phone: 626-797-9977
  • Fax: 626-844-2977
Mailing address:
  • Phone: 626-797-9977
  • Fax: 626-844-2977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. KENENTH ANTHONY GRAY
Title or Position: FOUNDER
Credential: LCSW
Phone: 626-797-9977