Provider Demographics
NPI:1326206103
Name:3D PRINTING INC.
Entity Type:Organization
Organization Name:3D PRINTING INC.
Other - Org Name:EXCELLENT CARE NURSES REGISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEMIWATI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:949-583-1490
Mailing Address - Street 1:23352 EL TORO RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4807
Mailing Address - Country:US
Mailing Address - Phone:949-583-1490
Mailing Address - Fax:949-583-1314
Practice Address - Street 1:23352 EL TORO RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4807
Practice Address - Country:US
Practice Address - Phone:949-583-1490
Practice Address - Fax:949-583-1314
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3D PRINTING INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-28
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20076118057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health