Provider Demographics
| NPI: | 1245698323 |
|---|---|
| Name: | INTERFACE MEDICAL BILLING, INC. |
| Entity type: | Organization |
| Organization Name: | INTERFACE MEDICAL BILLING, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | N/A |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SAJIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MONUGION |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 909-373-4633 |
| Mailing Address - Street 1: | 154-A W. FOOTHILL BLVD |
| Mailing Address - Street 2: | SUITE 406 |
| Mailing Address - City: | UPLAND |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 91786 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 154-A W. FOOTHILL BLVD |
| Practice Address - Street 2: | SUITE 406 |
| Practice Address - City: | UPLAND |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 91786 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 909-373-4633 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2016-02-04 |
| Last Update Date: | 2016-02-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251B00000X | Agencies | Case Management | ||
| No | 1223S0112X | Dental Providers | Dentist | Oral and Maxillofacial Surgery | Group - Multi-Specialty |
| No | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Phlebotomy | Group - Multi-Specialty |
| No | 246Z00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Group - Multi-Specialty | |
| No | 246ZE0600X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic | Group - Multi-Specialty |
| No | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | Group - Multi-Specialty | |
| No | 251K00000X | Agencies | Public Health or Welfare | ||
| No | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | |
| No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | |
| No | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty | |
| No | 261QS0112X | Ambulatory Health Care Facilities | Clinic/Center | Oral and Maxillofacial Surgery | |
| No | 302F00000X | Managed Care Organizations | Exclusive Provider Organization | ||
| No | 305R00000X | Managed Care Organizations | Preferred Provider Organization | ||
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |