Organization Name: | THE WEITCHPEC GROUP |
NPI Number: | 1053736975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIRGINIA SHAFFER FESUNOFF (PRESIDENT) |
Mailing Address: | 9567 Arrow Rte Suite L Rancho Cucamonga |
State: | CA US |
Postal Code: | 917304550 |
Phone Number: | 9099871661 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2014 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0000000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |