Healthcare Provider Details

I. General information

NPI: 1811512858
Provider Name (Legal Business Name): IN2VISON PROGRAMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 06/16/2020
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16131 WHITTIER BLVD, SUITE 100
WHITTIER CA
90603
US

IV. Provider business mailing address

16131 WHITTIER BLVD, SUITE 100
WHITTIER CA
90603
US

V. Phone/Fax

Practice location:
  • Phone: 562-789-8888
  • Fax: 562-386-3108
Mailing address:
  • Phone: 562-789-8888
  • Fax: 562-386-3108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. CESAR TORRES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 562-789-8888