Provider Demographics
NPI:1982989919
Name:GRAVITY PLUS PRODUCTS INC.
Entity Type:Organization
Organization Name:GRAVITY PLUS PRODUCTS INC.
Other - Org Name:INTERMARK MEDIA INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-426-4100
Mailing Address - Street 1:2380 SHASTA WAY
Mailing Address - Street 2:UNIT E
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1858
Mailing Address - Country:US
Mailing Address - Phone:805-426-4100
Mailing Address - Fax:
Practice Address - Street 1:2380 SHASTA WAY
Practice Address - Street 2:UNIT E
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1858
Practice Address - Country:US
Practice Address - Phone:805-426-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy