Healthcare Provider Details

I. General information

NPI: 1730427287
Provider Name (Legal Business Name): COMPULINL BUSINESS SYSTEM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 TOWNSGATE RD STE 200
WESTLAKE VILLAGE CA
91361-2708
US

IV. Provider business mailing address

2645 TOWNSGATE RD STE 200
WESTLAKE VILLAGE CA
91361-2708
US

V. Phone/Fax

Practice location:
  • Phone: 800-888-8075
  • Fax: 805-435-1637
Mailing address:
  • Phone: 800-888-8075
  • Fax: 805-435-1637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: DELAINE MUSE
Title or Position: EDI MANAGER
Credential:
Phone: 800-888-8075