Provider Demographics
NPI:1740568757
Name:K L INTERNATIONAL HOLIDAY INC
Entity Type:Organization
Organization Name:K L INTERNATIONAL HOLIDAY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANG
Authorized Official - Middle Name:XIU
Authorized Official - Last Name:HUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-384-9415
Mailing Address - Street 1:1441 S PASO REAL
Mailing Address - Street 2:#125
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748
Mailing Address - Country:US
Mailing Address - Phone:626-384-9415
Mailing Address - Fax:626-839-5486
Practice Address - Street 1:1441 S PASO REAL
Practice Address - Street 2:#125
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748
Practice Address - Country:US
Practice Address - Phone:626-384-9415
Practice Address - Fax:626-839-5486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies