Provider Demographics
NPI:1740860212
Name:FIREWATCH SOLUTIONS INC.
Entity type:Organization
Organization Name:FIREWATCH SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CE)
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VON KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-438-0798
Mailing Address - Street 1:555 N EL CAMINO REAL STE A345
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-6740
Mailing Address - Country:US
Mailing Address - Phone:949-438-0798
Mailing Address - Fax:
Practice Address - Street 1:127 W ESCALONES
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4607
Practice Address - Country:US
Practice Address - Phone:949-438-0798
Practice Address - Fax:949-449-8694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies