Provider Demographics
NPI:1457029852
Name:GOOD VIBES HOSPITALITY OF OC, INC
Entity Type:Organization
Organization Name:GOOD VIBES HOSPITALITY OF OC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-945-3684
Mailing Address - Street 1:15375 BARRANCA PKWY STE I105
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2210
Mailing Address - Country:US
Mailing Address - Phone:949-945-3684
Mailing Address - Fax:
Practice Address - Street 1:15375 BARRANCA PKWY STE I105
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2210
Practice Address - Country:US
Practice Address - Phone:949-945-3684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care