Provider Demographics
NPI:1043636400
Name:ALZ MEDICAL RESOURCE NETWORK INC
Entity Type:Organization
Organization Name:ALZ MEDICAL RESOURCE NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-728-3431
Mailing Address - Street 1:4152 KATELLA AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-6611
Mailing Address - Country:US
Mailing Address - Phone:562-728-3431
Mailing Address - Fax:
Practice Address - Street 1:4152 KATELLA AVE STE 204
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-6611
Practice Address - Country:US
Practice Address - Phone:562-728-3431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care