Provider Demographics
NPI:1225601222
Name:COVID CLINIC INC
Entity Type:Organization
Organization Name:COVID CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ABINANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-219-8378
Mailing Address - Street 1:18800 DELAWARE ST STE 800
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6019
Mailing Address - Country:US
Mailing Address - Phone:877-219-8378
Mailing Address - Fax:
Practice Address - Street 1:18800 DELAWARE ST STE 800
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6019
Practice Address - Country:US
Practice Address - Phone:877-219-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory