Provider Demographics
NPI:1982260865
Name:PIVOT HEALTH TECHNOLOGIES INC.
Entity Type:Organization
Organization Name:PIVOT HEALTH TECHNOLOGIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:UTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-249-3959
Mailing Address - Street 1:1010 COMMERCIAL ST STE C
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-4026
Mailing Address - Country:US
Mailing Address - Phone:650-249-3959
Mailing Address - Fax:
Practice Address - Street 1:1010 COMMERCIAL ST STE C
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-4026
Practice Address - Country:US
Practice Address - Phone:650-249-3959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty