Provider Demographics
NPI:1669833547
Name:CIRCLE OF PROFESSIONALS,INC.
Entity Type:Organization
Organization Name:CIRCLE OF PROFESSIONALS,INC.
Other - Org Name:SUPREME MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKIMIRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-594-2295
Mailing Address - Street 1:7044 SOPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3910
Mailing Address - Country:US
Mailing Address - Phone:800-594-2295
Mailing Address - Fax:
Practice Address - Street 1:7044 SOPHIA AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3910
Practice Address - Country:US
Practice Address - Phone:800-594-2295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIRCLE OF PROFESSIONALS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies