Provider Demographics
NPI:1083201917
Name:ALPHA GAINZ INC.
Entity type:Organization
Organization Name:ALPHA GAINZ INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENTA-MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:CPT, CES, FNS
Authorized Official - Phone:505-400-0218
Mailing Address - Street 1:1612 VAIL PL SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-3912
Mailing Address - Country:US
Mailing Address - Phone:505-400-0218
Mailing Address - Fax:
Practice Address - Street 1:605 SAN MATEO BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1432
Practice Address - Country:US
Practice Address - Phone:505-400-0218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty