Provider Demographics
NPI:1326395690
Name:NORTHERN STAR GROUP INC
Entity Type:Organization
Organization Name:NORTHERN STAR GROUP INC
Other - Org Name:ANGEL MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAIHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-518-3879
Mailing Address - Street 1:13107 NE 20TH ST
Mailing Address - Street 2:STE 5
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2018
Mailing Address - Country:US
Mailing Address - Phone:425-881-5355
Mailing Address - Fax:
Practice Address - Street 1:13107 NE 20TH ST
Practice Address - Street 2:STE 5
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2018
Practice Address - Country:US
Practice Address - Phone:425-881-5355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies