Provider Demographics
NPI:1225240161
Name:CIBRE, INC
Entity Type:Organization
Organization Name:CIBRE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:FARAMARZ
Authorized Official - Last Name:ZAGROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-826-2238
Mailing Address - Street 1:1223 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1605
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5400
Mailing Address - Country:US
Mailing Address - Phone:310-826-2238
Mailing Address - Fax:310-496-3047
Practice Address - Street 1:1223 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1605
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5400
Practice Address - Country:US
Practice Address - Phone:310-826-2238
Practice Address - Fax:310-496-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4394171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherEIN