Provider Demographics
NPI:1841223021
Name:GENERATION II USA INC
Entity Type:Organization
Organization Name:GENERATION II USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-362-3883
Mailing Address - Street 1:27412 ALISO VIEJO PKWY
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3371
Mailing Address - Country:US
Mailing Address - Phone:949-362-3883
Mailing Address - Fax:949-349-0026
Practice Address - Street 1:27412 ALISO VIEJO PKWY
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-5337
Practice Address - Country:US
Practice Address - Phone:949-362-3883
Practice Address - Fax:949-349-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0151713Medicaid
ND54559Medicaid
KY90042680Medicaid
WA9518606Medicaid
WA9518606Medicaid