Provider Demographics
NPI:1376085787
Name:STREET CORPORATION
Entity Type:Organization
Organization Name:STREET CORPORATION
Other - Org Name:MEDDIAPERS BEST CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KULBHUSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-205-6702
Mailing Address - Street 1:12033 CAMINO VALENCIA
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12033 CAMINO VALENCIA
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7622
Practice Address - Country:US
Practice Address - Phone:800-889-7992
Practice Address - Fax:909-657-0382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies