Provider Demographics
NPI:1417219742
Name:INFINITE HEALTH SOLUTIONS INC
Entity Type:Organization
Organization Name:INFINITE HEALTH SOLUTIONS INC
Other - Org Name:PAYLESS PHARMACY IV
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/RPH
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:949-788-9990
Mailing Address - Street 1:113 WATERWORKS WAY
Mailing Address - Street 2:STE 160A
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3167
Mailing Address - Country:US
Mailing Address - Phone:949-788-9990
Mailing Address - Fax:949-336-6466
Practice Address - Street 1:113 WATERWORKS WAY
Practice Address - Street 2:STE 160A
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3167
Practice Address - Country:US
Practice Address - Phone:949-788-9990
Practice Address - Fax:949-336-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY509763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY50976OtherRETAIL PHARMACY PERMIT