Provider Demographics
NPI:1306645627
Name:IVAZ LLC
Entity type:Organization
Organization Name:IVAZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-315-1918
Mailing Address - Street 1:106 W OSBORN RD STE 1161
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3909
Mailing Address - Country:US
Mailing Address - Phone:808-315-1918
Mailing Address - Fax:307-333-0339
Practice Address - Street 1:13-1263 LEILANI AVE
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-8225
Practice Address - Country:US
Practice Address - Phone:808-315-1918
Practice Address - Fax:307-333-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty