Provider Demographics
NPI:1740578145
Name:NEXT CREATIVE
Entity Type:Organization
Organization Name:NEXT CREATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAKESHI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSEKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-787-1775
Mailing Address - Street 1:22119 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2132
Mailing Address - Country:US
Mailing Address - Phone:310-787-1775
Mailing Address - Fax:
Practice Address - Street 1:22119 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2132
Practice Address - Country:US
Practice Address - Phone:310-787-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies