Provider Demographics
NPI:1215332390
Name:SAFE CO-MANAGEMENT INC
Entity type:Organization
Organization Name:SAFE CO-MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:ZAMBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-644-6671
Mailing Address - Street 1:3327 SYVELLA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8403
Mailing Address - Country:US
Mailing Address - Phone:619-779-9991
Mailing Address - Fax:877-832-5115
Practice Address - Street 1:5691 RICKENBACKER RD BLDG 431
Practice Address - Street 2:
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191-7052
Practice Address - Country:US
Practice Address - Phone:702-644-6671
Practice Address - Fax:702-644-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV781152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty