Provider Demographics
NPI:1619270709
Name:ATRIUM SERVICES INC
Entity Type:Organization
Organization Name:ATRIUM SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:GYEPES
Authorized Official - Suffix:
Authorized Official - Credentials:JD, PH D, QME
Authorized Official - Phone:310-464-1165
Mailing Address - Street 1:11500 W OLYMPIC BLVD
Mailing Address - Street 2:STE 580
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1524
Mailing Address - Country:US
Mailing Address - Phone:310-464-1165
Mailing Address - Fax:310-966-9215
Practice Address - Street 1:11500 W OLYMPIC BLVD
Practice Address - Street 2:STE 580
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1524
Practice Address - Country:US
Practice Address - Phone:310-464-1165
Practice Address - Fax:310-966-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-10
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18840174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty