Provider Demographics
NPI:1497835797
Name:PULMO TEST, INC.
Entity Type:Organization
Organization Name:PULMO TEST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMALINI
Authorized Official - Middle Name:
Authorized Official - Last Name:APTE
Authorized Official - Suffix:
Authorized Official - Credentials:RPFT, RCP
Authorized Official - Phone:714-754-7882
Mailing Address - Street 1:952 DENVER DR
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-2927
Mailing Address - Country:US
Mailing Address - Phone:714-754-7882
Mailing Address - Fax:714-668-0622
Practice Address - Street 1:952 DENVER DR
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-2927
Practice Address - Country:US
Practice Address - Phone:714-754-7882
Practice Address - Fax:714-668-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17832278P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1783OtherSTATE LICENSE
CATG041Medicare ID - Type UnspecifiedMEDICARE
CART0017830Medicare ID - Type UnspecifiedMEDI-CAL