Provider Demographics
NPI:1811397151
Name:911 BIOCARE
Entity Type:Organization
Organization Name:911 BIOCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-816-3800
Mailing Address - Street 1:2920 E THOUSAND OAKS BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3200
Mailing Address - Country:US
Mailing Address - Phone:805-494-1401
Mailing Address - Fax:
Practice Address - Street 1:2920 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-3200
Practice Address - Country:US
Practice Address - Phone:805-494-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37096261QH0100X, 261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service