Provider Demographics
NPI:1326782921
Name:HEALTHCARE PROVIDERS REIMBURSEMENT ADMINISTRATORS
Entity Type:Organization
Organization Name:HEALTHCARE PROVIDERS REIMBURSEMENT ADMINISTRATORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-891-5424
Mailing Address - Street 1:2225 CITY LIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2642
Mailing Address - Country:US
Mailing Address - Phone:949-891-5424
Mailing Address - Fax:
Practice Address - Street 1:2225 CITY LIGHTS DR
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-2642
Practice Address - Country:US
Practice Address - Phone:949-891-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty