Provider Demographics
NPI:1174190565
Name:NUFAZE NETWORKING SOLUTIONS
Entity Type:Organization
Organization Name:NUFAZE NETWORKING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-570-0270
Mailing Address - Street 1:5250 SANTA MONICA BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1254
Mailing Address - Country:US
Mailing Address - Phone:323-570-0270
Mailing Address - Fax:323-952-5184
Practice Address - Street 1:5250 SANTA MONICA BLVD STE 213
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1254
Practice Address - Country:US
Practice Address - Phone:323-570-0270
Practice Address - Fax:323-952-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-05
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty