Provider Demographics
NPI:1477861995
Name:PLIEV ENTERPRISES
Entity Type:Organization
Organization Name:PLIEV ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGOMED
Authorized Official - Middle Name:
Authorized Official - Last Name:PLIEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-988-1400
Mailing Address - Street 1:633 W STATE ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-4200
Mailing Address - Country:US
Mailing Address - Phone:909-988-1400
Mailing Address - Fax:
Practice Address - Street 1:633 W STATE ST
Practice Address - Street 2:SUITE H
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-4200
Practice Address - Country:US
Practice Address - Phone:909-988-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty