Lice Patrol Inc

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

LCA761 Issued in UT

Legal business name

LICE PATROL INC

Practice address

171 N 13TH St
Grover Beach, CA 93433-2231

Phone

(805) 668-2414

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rose M Moore

Title

Cfo

Phone

(805) 668-2414

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1912488933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N 13TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332231",
            "telephone_number": "805-668-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N 13TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332231",
            "telephone_number": "805-668-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE PATROL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-668-2414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "UT",
            "license": "LCA761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.