Provider Demographics
NPI:1063642619
Name:THERMAQUATIC, INC.
Entity Type:Organization
Organization Name:THERMAQUATIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATIENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-683-0332
Mailing Address - Street 1:27832 TRELLIS WAY
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-3769
Mailing Address - Country:US
Mailing Address - Phone:949-683-0331
Mailing Address - Fax:949-360-1692
Practice Address - Street 1:27832 TRELLIS WAY
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-3769
Practice Address - Country:US
Practice Address - Phone:949-683-0331
Practice Address - Fax:949-360-1692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies