Provider Demographics
NPI:1003508730
Name:ZAP THAT ELECTROLYSIS LLC.
Entity Type:Organization
Organization Name:ZAP THAT ELECTROLYSIS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELECTROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:K
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-641-8600
Mailing Address - Street 1:3825 ALEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-1448
Mailing Address - Country:US
Mailing Address - Phone:562-641-8600
Mailing Address - Fax:
Practice Address - Street 1:129 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:SD
Practice Address - Zip Code:57033-2166
Practice Address - Country:US
Practice Address - Phone:562-641-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty