Provider Demographics
NPI:1013339555
Name:PRO-EPIC, LLC.
Entity Type:Organization
Organization Name:PRO-EPIC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-805-1876
Mailing Address - Street 1:3595 INLAND EMPIRE BLVD BLDG 1
Mailing Address - Street 2:SUITE # 1250
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-7988
Mailing Address - Country:US
Mailing Address - Phone:909-373-4631
Mailing Address - Fax:909-373-4634
Practice Address - Street 1:3595 INLAND EMPIRE BLVD BLDG 1
Practice Address - Street 2:SUITE # 1250
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-7988
Practice Address - Country:US
Practice Address - Phone:909-373-4631
Practice Address - Fax:909-373-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
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No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty
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