Organization Name: | ADAPT 2 IT |
NPI Number: | 1477554707 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE ANN GIBOLA (OWNER) |
Mailing Address: | 24102 El Toro Rd Suite E Laguna Woods |
State: | CA US |
Postal Code: | 926373123 |
Phone Number: | 9494571600 |
Fax Number: | 9494571614 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 103801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |