Healthcare Provider Details

I. General information

NPI: 1013928787
Provider Name (Legal Business Name): COMFORT STYLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E FOOTHILL BLVD # 110
PASADENA CA
91107-3464
US

IV. Provider business mailing address

2500 E FOOTHILL BLVD # 110
PASADENA CA
91107-3464
US

V. Phone/Fax

Practice location:
  • Phone: 626-584-9942
  • Fax: 626-584-9963
Mailing address:
  • Phone: 626-584-9942
  • Fax: 626-584-9963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. GEGHAM ANDOYAN
Title or Position: CO-OWNER
Credential:
Phone: 626-584-9942