Provider Demographics
NPI:1093179913
Name:AMINO, INC
Entity Type:Organization
Organization Name:AMINO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-300-2896
Mailing Address - Street 1:394 PACIFIC AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-1707
Mailing Address - Country:US
Mailing Address - Phone:415-300-2896
Mailing Address - Fax:
Practice Address - Street 1:394 PACIFIC AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-1707
Practice Address - Country:US
Practice Address - Phone:415-300-2896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty