Provider Demographics
NPI:1255705513
Name:INFOTECH INSTITUTE, INC
Entity type:Organization
Organization Name:INFOTECH INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-804-1239
Mailing Address - Street 1:8527 ALONDRA BLVD
Mailing Address - Street 2:#174
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5255
Mailing Address - Country:US
Mailing Address - Phone:562-804-1239
Mailing Address - Fax:562-866-7739
Practice Address - Street 1:8527 ALONDRA BLVD
Practice Address - Street 2:#174
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5255
Practice Address - Country:US
Practice Address - Phone:562-804-1239
Practice Address - Fax:562-866-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center