Provider Demographics
NPI:1043066418
Name:PRIME TOUCH LLC
Entity type:Organization
Organization Name:PRIME TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAMBRE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHMASIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:818-392-0225
Mailing Address - Street 1:676 W WILSON AVE STE I
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2424
Mailing Address - Country:US
Mailing Address - Phone:818-392-0225
Mailing Address - Fax:
Practice Address - Street 1:676 W WILSON AVE STE I
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2424
Practice Address - Country:US
Practice Address - Phone:818-392-0225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies