Provider Demographics
NPI:1932499605
Name:C.N. HEALTH, INC.
Entity type:Organization
Organization Name:C.N. HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-268-9979
Mailing Address - Street 1:609 N MEDNIK AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1326
Mailing Address - Country:US
Mailing Address - Phone:323-268-9979
Mailing Address - Fax:323-268-9539
Practice Address - Street 1:1417 W BEVERLY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4146
Practice Address - Country:US
Practice Address - Phone:323-726-1582
Practice Address - Fax:323-726-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5640746OtherNCPDP PROVIDER IDENTIFICATION NUMBER