Provider Demographics
NPI:1124567334
Name:PMNP MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:PMNP MEDICAL SERVICES INC
Other - Org Name:PMNP MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:ESTRADA
Authorized Official - Last Name:MORANTE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:323-423-2040
Mailing Address - Street 1:433 S LAKE ST APT 214
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2740
Mailing Address - Country:US
Mailing Address - Phone:323-423-2040
Mailing Address - Fax:
Practice Address - Street 1:433 S LAKE ST APT 214
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2740
Practice Address - Country:US
Practice Address - Phone:323-423-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility