Provider Demographics
NPI:1275224925
Name:PLANTOLOGY
Entity Type:Organization
Organization Name:PLANTOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIEME
Authorized Official - Middle Name:
Authorized Official - Last Name:SANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-813-6028
Mailing Address - Street 1:2219 MAIN ST UNIT 133
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2217
Mailing Address - Country:US
Mailing Address - Phone:323-813-6028
Mailing Address - Fax:
Practice Address - Street 1:2219 MAIN ST UNIT 133
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-2217
Practice Address - Country:US
Practice Address - Phone:323-813-6028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No291U00000XLaboratoriesClinical Medical Laboratory
No333600000XSuppliersPharmacy
No335G00000XSuppliersMedical Foods Supplier
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)