Provider Demographics
NPI:1497476550
Name:LOVE AT FIRST PEEK
Entity Type:Organization
Organization Name:LOVE AT FIRST PEEK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AJSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYTYQI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-436-7671
Mailing Address - Street 1:9622 FOOTHILL BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3596
Mailing Address - Country:US
Mailing Address - Phone:909-436-7671
Mailing Address - Fax:
Practice Address - Street 1:9622 FOOTHILL BLVD STE 120
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3596
Practice Address - Country:US
Practice Address - Phone:909-436-7671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile