Organization Name: | KGV EASY LEASING CORP |
NPI Number: | 1255588273 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY DAVIDOV (CEO) |
Mailing Address: | 12501 Chandler Blvd Suite 102 Valley Village |
State: | CA US |
Postal Code: | 916071941 |
Phone Number: | 8189801171 |
Fax Number: | 8187638750 |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |