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Contact Information

FATA INC.
9773 SIERRA AVE
9773 SIERRA AVE. #H7
FONTANA, CA92335-6716
 Phone: 909-829-2349
 Fax: 909-829-2349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Art Specialist/Technologist

246ZA2600X
Indicates primary specialty

NPI Profile & details for FATA INC.

NPI # 1104240340
LBN Legal business name FATA INC.
Authorized official SOON PARK - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/07/2014
Last updated 02/07/2014 - About 12 years ago
Identifiers
CA License # AC12047
CA Other AC12047 ACUPUNCTURE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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