Basic Information
| Provider Information | |||||||||
| NPI: | 1003384835 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KRYPTON HEALTH SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27101 PUERTA REAL STE 450 | ||||||||
| Address2: | |||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926918566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495401249 | ||||||||
| FaxNumber: | 9495401966 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 W BROADWAY RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852821138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6023134599 | ||||||||
| FaxNumber: | 6023134571 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2018 | ||||||||
| LastUpdateDate: | 11/09/2018 | ||||||||
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| AuthorizedOfficialLastName: | BURNAM | ||||||||
| AuthorizedOfficialFirstName: | SOON | ||||||||
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| AuthorizedOfficialTitleorPosition: | TREASURER | ||||||||
| AuthorizedOfficialTelephone: | 9495401249 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BX2000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |
No ID Information.