Provider Demographics
NPI:1619116456
Name:TERP ET AL LLC
Entity Type:Organization
Organization Name:TERP ET AL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:CI, CT
Authorized Official - Phone:562-342-4246
Mailing Address - Street 1:6048 AVENIDA DE CASTILLO
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2004
Mailing Address - Country:US
Mailing Address - Phone:562-342-4246
Mailing Address - Fax:562-342-4595
Practice Address - Street 1:6048 AVENIDA DE CASTILLO
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-2004
Practice Address - Country:US
Practice Address - Phone:562-342-4246
Practice Address - Fax:562-342-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty