Provider Demographics
NPI:1225594617
Name:GAMEBREAKER INC.
Entity Type:Organization
Organization Name:GAMEBREAKER INC.
Other - Org Name:GUARDIAN HELMETS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-217-1224
Mailing Address - Street 1:31324 VIA COLINAS STE 102
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6750
Mailing Address - Country:US
Mailing Address - Phone:818-217-1224
Mailing Address - Fax:818-748-4804
Practice Address - Street 1:31324 VIA COLINAS STE 102
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6750
Practice Address - Country:US
Practice Address - Phone:818-217-1224
Practice Address - Fax:818-748-4804
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GAMEBREAKER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-11
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment