Provider Demographics
NPI:1689026387
Name:HORMAZA AND ASSOCIATES INC
Entity Type:Organization
Organization Name:HORMAZA AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORMAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-901-1840
Mailing Address - Street 1:211 S WESTERN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1650
Mailing Address - Country:US
Mailing Address - Phone:714-952-3274
Mailing Address - Fax:714-917-7092
Practice Address - Street 1:211 S WESTERN AVE APT 4
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1650
Practice Address - Country:US
Practice Address - Phone:714-952-3274
Practice Address - Fax:714-917-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle