Provider Demographics
NPI:1417131608
Name:ALL IS WELL CORPORATION
Entity Type:Organization
Organization Name:ALL IS WELL CORPORATION
Other - Org Name:EL RAPHA MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VEROH
Authorized Official - Middle Name:J
Authorized Official - Last Name:OGIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-424-9984
Mailing Address - Street 1:27125 SIERRA HWY
Mailing Address - Street 2:SUITE 326
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-5432
Mailing Address - Country:US
Mailing Address - Phone:661-424-9984
Mailing Address - Fax:661-424-0275
Practice Address - Street 1:27125 SIERRA HWY
Practice Address - Street 2:SUITE 326
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-5432
Practice Address - Country:US
Practice Address - Phone:661-424-9984
Practice Address - Fax:661-424-0275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6154960001Medicare NSC