Provider Demographics
NPI:1053655316
Name:EDUCATIONAL MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:EDUCATIONAL MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORJANCIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-704-2402
Mailing Address - Street 1:22631 PACIFIC COAST HWY
Mailing Address - Street 2:#310
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-5036
Mailing Address - Country:US
Mailing Address - Phone:310-704-2402
Mailing Address - Fax:310-919-3080
Practice Address - Street 1:22631 PACIFIC COAST HWY
Practice Address - Street 2:#310
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-5036
Practice Address - Country:US
Practice Address - Phone:310-704-2402
Practice Address - Fax:310-919-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site