Provider Demographics
NPI:1851764682
Name:DEFT SOLUTIONS
Entity Type:Organization
Organization Name:DEFT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMVELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:ST
Authorized Official - Phone:818-731-0043
Mailing Address - Street 1:15128 BURBANK BLVD APT 210
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3541
Mailing Address - Country:US
Mailing Address - Phone:818-731-0043
Mailing Address - Fax:
Practice Address - Street 1:15128 BURBANK BLVD
Practice Address - Street 2:210
Practice Address - City:SBERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:818-731-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical