Provider Demographics
NPI:1982837951
Name:MEGA TECH CONSTRUCTION CORPORATION
Entity Type:Organization
Organization Name:MEGA TECH CONSTRUCTION CORPORATION
Other - Org Name:JOON PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YONG
Authorized Official - Middle Name:JOON
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-955-1041
Mailing Address - Street 1:3405 MONARCH LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1156
Mailing Address - Country:US
Mailing Address - Phone:703-955-1041
Mailing Address - Fax:703-876-0355
Practice Address - Street 1:3405 MONARCH LN
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1156
Practice Address - Country:US
Practice Address - Phone:703-955-1041
Practice Address - Fax:703-876-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705073655A332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment