Provider Demographics
NPI:1376114306
Name:BIOMETRICS PARTNERS CORPORATION
Entity Type:Organization
Organization Name:BIOMETRICS PARTNERS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:WHITAKER
Authorized Official - Last Name:MAXEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-680-1810
Mailing Address - Street 1:300 E HILLCREST BLVD # 153
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-2428
Mailing Address - Country:US
Mailing Address - Phone:310-680-1810
Mailing Address - Fax:310-680-1811
Practice Address - Street 1:644 E REGENT ST STE 200
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1444
Practice Address - Country:US
Practice Address - Phone:310-680-1810
Practice Address - Fax:310-680-1811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED COMMUNITY MEDICAL CARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA21800OtherPTAN