Provider Demographics
NPI:1700027240
Name:LATIN AMERICA MARKETING CORPORATION
Entity Type:Organization
Organization Name:LATIN AMERICA MARKETING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:LUZ
Authorized Official - Last Name:VIDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-285-5491
Mailing Address - Street 1:2460 MISSION ST STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2476
Mailing Address - Country:US
Mailing Address - Phone:415-285-5491
Mailing Address - Fax:415-285-5493
Practice Address - Street 1:522 CALLIPPE CT
Practice Address - Street 2:
Practice Address - City:BRISBANE
Practice Address - State:CA
Practice Address - Zip Code:94005-1246
Practice Address - Country:US
Practice Address - Phone:415-285-5491
Practice Address - Fax:415-285-5493
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LATIN AMERICA MARKETING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA351261261QH0100X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service