Provider Demographics
NPI:1497514558
Name:KINGSWORK SOLUTIONS LLC
Entity Type:Organization
Organization Name:KINGSWORK SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:HABER
Authorized Official - Last Name:PAYAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-896-4538
Mailing Address - Street 1:6597 LUNT CT
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-7382
Mailing Address - Country:US
Mailing Address - Phone:909-896-4538
Mailing Address - Fax:
Practice Address - Street 1:6597 LUNT CT
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-7382
Practice Address - Country:US
Practice Address - Phone:909-896-4538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty