<Unavail>

LBN: Bunga Teratai Cemeriang America Inc
<Unavail> is an health care organization with primary practice located at 583 E Foothill Blvd Units 7 And 8, Upland CA 91786-3995. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bunga Teratai Cemeriang America Inc can be contacted via phone (909) 579-0719, or through Jong, Suken via phone (909) 579-0719.

Contact Information

Primary practice address
583 E Foothill Blvd Units 7 And 8 Upland CA 91786-3995
Phone: (909) 579-0719
Fax: (909) 579-0721
Website:
Map and Directions
Authorized official contact:
Name: Jong, Suken
Phone: (909) 579-0719

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54391 California

Profile Details

NPI number 1881040863
LBN Legal business name Bunga Teratai Cemeriang America Inc
DBA Doing business as <Unavail>
Authorized official Jong, Suken
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2016
Last updated Jul 5th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881040863 NPPES
California MEDICAID 1881040863
California Other 2160375

Popular Providers