Provider Demographics
NPI:1417541350
Name:AJEETH, INC.
Entity Type:Organization
Organization Name:AJEETH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARUN
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:310-213-1772
Mailing Address - Street 1:2720 PORTOBELLO DR
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7310
Mailing Address - Country:US
Mailing Address - Phone:310-213-1772
Mailing Address - Fax:310-606-2220
Practice Address - Street 1:28041 HAWTHORNE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-3280
Practice Address - Country:US
Practice Address - Phone:310-213-1772
Practice Address - Fax:310-606-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory