Provider Demographics
NPI:1649632605
Name:CANALES HOLDINGS, INC.
Entity type:Organization
Organization Name:CANALES HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUS DEV
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CANALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-466-9939
Mailing Address - Street 1:92 ARGONAUT STE 170
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-4130
Mailing Address - Country:US
Mailing Address - Phone:949-466-9939
Mailing Address - Fax:949-281-7707
Practice Address - Street 1:92 ARGONAUT STE 170
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-4130
Practice Address - Country:US
Practice Address - Phone:949-466-9939
Practice Address - Fax:949-281-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory