Organization
AXISPT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA VAZQUEZ CMB (MEDICAL CLAIMS PROCESSOR)
(213) 617-2947
Entity
Organization
Contact information
Practice address
708 W 1ST ST, LOS ANGELES, CA 90012-2442
(213) 617-2947
(213) 617-2903
Mailing address
708 W 1ST ST, LOS ANGELES, CA 90012-2442
(213) 617-2947
(213) 617-2903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66237Z
BLUE SHIELD
CA
Enumeration date
06/29/2006
Last updated
07/07/2008
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