Provider Demographics
NPI:1447774492
Name:NEONATRIX, LLC
Entity Type:Organization
Organization Name:NEONATRIX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEHENNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-409-0610
Mailing Address - Street 1:366 SAN MIGUEL DR STE 211
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7810
Mailing Address - Country:US
Mailing Address - Phone:310-409-0610
Mailing Address - Fax:
Practice Address - Street 1:366 SAN MIGUEL DRIVE
Practice Address - Street 2:SUITE 211
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:310-409-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management