International Pre-Diabetes Center Inc.

LBN: International Pre-Diabetes Center Inc
International Pre-Diabetes Center Inc. is an health care organization with primary practice located at 14500 Roscoe Blvd., 4Th Floor 4Th Floor, Panorama City CA 91402. The organization recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Other Service Providers / Health Educator, Pharmacy Service Providers / Geriatric, Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. International Pre-Diabetes Center Inc can be contacted via phone (818) 714-2066, or through Grant, Yvonne E. via phone (818) 625-6756.

Contact Information

Primary practice address
14500 Roscoe Blvd., 4Th Floor 4Th Floor Panorama City CA 91402
Phone: (818) 714-2066
Fax: (818) 387-6224
Website:
Map and Directions
Authorized official contact:
Name: Grant, Yvonne E. PHARM.D. APP, CDE, B
Phone: (818) 625-6756

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X California
Other Service Providers / Health Educator 174H00000X California
Pharmacy Service Providers / Geriatric 1835G0303X 10028 California
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X 38828 California
Agencies / Voluntary or Charitable 251V00000X California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 38828 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 96123 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1376080309
LBN Legal business name International Pre-Diabetes Center Inc
DBA Doing business as International Pre-Diabetes Center Inc.
Authorized official Grant, Yvonne E. PHARM.D. APP, CDE, B
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2017
Last updated Dec 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376080309 NPPES
California Other 96123 DIABETES HOME MEDICAL DEVICE, DEPT. OF PUBLIC HEALTH, FOOD & DRUG BRANCH
California MEDICAID 7658690001 DIABETES HOME MEDICAL DEVICE, DEPT. OF PUBLIC HEALTH, FOOD & DRUG BRANCH
California MEDICAID 1376080309 DIABETES HOME MEDICAL DEVICE, DEPT. OF PUBLIC HEALTH, FOOD & DRUG BRANCH
California Other 200913353 DIABETES HOME MEDICAL DEVICE, DEPT. OF PUBLIC HEALTH, FOOD & DRUG BRANCH

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