Provider Demographics
NPI:1073742904
Name:MONCHIT CORPORATION
Entity Type:Organization
Organization Name:MONCHIT CORPORATION
Other - Org Name:PRECIOUS MOMENTS 1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON CHITO
Authorized Official - Middle Name:F
Authorized Official - Last Name:DE GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-646-2439
Mailing Address - Street 1:16748 UKIAH ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-1488
Mailing Address - Country:US
Mailing Address - Phone:760-596-0378
Mailing Address - Fax:760-596-0378
Practice Address - Street 1:16748 UKIAH ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-1488
Practice Address - Country:US
Practice Address - Phone:760-596-0378
Practice Address - Fax:760-596-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA366413166261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care