Provider Demographics
NPI:1912378324
Name:HUNTINGTON SPECIALIST & NURSING CORPORATION
Entity Type:Organization
Organization Name:HUNTINGTON SPECIALIST & NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:626-408-5927
Mailing Address - Street 1:PO BOX 1849
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91017-5849
Mailing Address - Country:US
Mailing Address - Phone:626-408-5927
Mailing Address - Fax:
Practice Address - Street 1:517 S MYRTLE AVE
Practice Address - Street 2:101
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2825
Practice Address - Country:US
Practice Address - Phone:626-408-5927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty