Provider Demographics
NPI:1235913047
Name:PFIVE CORP
Entity Type:Organization
Organization Name:PFIVE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-414-3961
Mailing Address - Street 1:4444 MORELLA AVE
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4125
Mailing Address - Country:US
Mailing Address - Phone:917-414-3961
Mailing Address - Fax:
Practice Address - Street 1:4444 MORELLA AVE
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91607-4125
Practice Address - Country:US
Practice Address - Phone:917-414-3961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NT0100XChiropractic ProvidersChiropractorThermographyGroup - Single Specialty