Provider Demographics
NPI:1053680074
Name:PREFERRED PETCARE, INC.
Entity Type:Organization
Organization Name:PREFERRED PETCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND C.O.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:NURY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-478-0248
Mailing Address - Street 1:1736 SO. SEPULVEDA BLVD.
Mailing Address - Street 2:SUITE D
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90245
Mailing Address - Country:US
Mailing Address - Phone:310-478-0248
Mailing Address - Fax:310-473-0650
Practice Address - Street 1:1736 SO. SEPULVEDA BLVD.,
Practice Address - Street 2:SUITE D
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-478-0248
Practice Address - Fax:310-473-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty