Provider Demographics
NPI:1467157719
Name:CHRISLAND REPAIRS INC.
Entity Type:Organization
Organization Name:CHRISLAND REPAIRS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAAULI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMALATAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-802-0986
Mailing Address - Street 1:185 INDIAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-1141
Mailing Address - Country:US
Mailing Address - Phone:626-802-0986
Mailing Address - Fax:
Practice Address - Street 1:9846 ALPACA ST
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3102
Practice Address - Country:US
Practice Address - Phone:626-802-0986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment