=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477149839
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | Y8 TECHNOLOGIES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2020
-----------------------------------------------------
Last Update Date | 12/18/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3401 IRON POINT DR APT 196
-----------------------------------------------------
City | SAN JOSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95134-3402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 669-226-8799
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3401 IRON POINT DR APT 196
-----------------------------------------------------
City | SAN JOSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95134-3402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 669-226-8799
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | JORDYN KOTOWSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 650-750-4625
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171R00000X
-----------------------------------------------------
Taxonomy Name | Interpreter
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------