NPI Code Detail JSON Logo

1689714214 NPI number — C.L.O., INC.

NPI Number: 1689714214
Health Care Provider/Practitioner: C.L.O., INC.

Information about “1689714214” NPI (C.L.O., INC.) exists in 1689714214 in HTML format HTML  |  1689714214 in plain Text format TXT  |  1689714214 in PDF (Portable Document Format) PDF  |  1689714214 in an XML format XML  formats.

NPI Number : 1689714214 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689714214",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "C.L.O., INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24761 VIA LARGA",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAGUNA NIGUEL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92677-1933",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-458-1881",
    "MailingAddressFaxNumber": "949-581-4959",
    "FirstLinePracticeLocationAddress": "24761 VIA LARGA",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAGUNA NIGUEL",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92677-1933",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-458-1881",
    "PracticeLocationAddressFaxNumber": "949-581-4959",
    "EnumerationDate": "02/06/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WARD",
    "AuthorizedOfficialFirstName": "TERRY",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "949-458-1881",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "315P00000X",
          "TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "315P00000X",
          "TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "315P00000X",
          "TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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