Wig Van

LBN: Ruthiva Llc
Wig Van is an health care organization with primary practice located at 10601 Tierrasanta Blvd Ste G-188, San Diego CA 92124-2616. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Ruthiva Llc can be contacted via phone (619) 241-4616, or through Slagle, Jack G via phone (619) 241-4616.

Contact Information

Primary practice address
10601 Tierrasanta Blvd Ste G-188 San Diego CA 92124-2616
Phone: (619) 241-4616
Fax: (858) 569-6917
Website:
Map and Directions
Authorized official contact:
Name: Slagle, Jack G
Phone: (619) 241-4616

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1487945739
LBN Legal business name Ruthiva Llc
DBA Doing business as Wig Van
Authorized official Slagle, Jack G
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 2011 - about 14 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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