Provider Demographics
NPI:1558494237
Name:DREW & HUGH INC
Entity Type:Organization
Organization Name:DREW & HUGH INC
Other - Org Name:COURTYARD WELLNES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MR
Authorized Official - First Name:GURU PARKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-246-1644
Mailing Address - Street 1:5700 WILSHIRE BLVD # 165
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3659
Mailing Address - Country:US
Mailing Address - Phone:323-932-1999
Mailing Address - Fax:323-932-8899
Practice Address - Street 1:5700 WILSHIRE BLVD # 165
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3659
Practice Address - Country:US
Practice Address - Phone:323-932-1999
Practice Address - Fax:323-932-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26173111N00000X
CADC26056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC26056OtherSTATE LICENSE
CAZZZ58789ZOtherBLUE SHIELD
CADC26173OtherSTATE LICENSE