Provider Demographics
NPI:1073794897
Name:SAVAKOR INC.
Entity Type:Organization
Organization Name:SAVAKOR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JC
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:310-764-4976
Mailing Address - Street 1:637 W COMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-3012
Mailing Address - Country:US
Mailing Address - Phone:313-764-4976
Mailing Address - Fax:319-764-4185
Practice Address - Street 1:637 W COMPTON BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3012
Practice Address - Country:US
Practice Address - Phone:313-764-4976
Practice Address - Fax:319-764-4185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier