Provider Demographics
NPI:1407566987
Name:PARADISE CUBED CONSULTING
Entity Type:Organization
Organization Name:PARADISE CUBED CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:BARTOK
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-606-4462
Mailing Address - Street 1:5757 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1372
Mailing Address - Country:US
Mailing Address - Phone:916-606-4462
Mailing Address - Fax:
Practice Address - Street 1:5757 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1372
Practice Address - Country:US
Practice Address - Phone:916-606-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental