Provider Demographics
NPI:1689010019
Name:PEAK HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:PEAK HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESI
Authorized Official - Prefix:MR
Authorized Official - First Name:GABE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-871-8812
Mailing Address - Street 1:1805 OLD ALABAMA RD
Mailing Address - Street 2:SUITE #250
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2259
Mailing Address - Country:US
Mailing Address - Phone:800-935-6500
Mailing Address - Fax:858-530-4880
Practice Address - Street 1:6920 MIRAMAR RD
Practice Address - Street 2:SUITE #305
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2632
Practice Address - Country:US
Practice Address - Phone:800-935-6500
Practice Address - Fax:858-530-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP6444251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health