Provider Demographics
NPI:1770715500
Name:HEALTH INNOVATION IDEAS,LLC
Entity type:Organization
Organization Name:HEALTH INNOVATION IDEAS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHYNA
Authorized Official - Middle Name:SUH
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-946-7316
Mailing Address - Street 1:421 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-8333
Mailing Address - Country:US
Mailing Address - Phone:909-946-7316
Mailing Address - Fax:
Practice Address - Street 1:421 E 25TH ST
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91784-8333
Practice Address - Country:US
Practice Address - Phone:909-946-7316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies