Provider Demographics
NPI:1316569189
Name:SRI SAI KRISH INSTITUTE
Entity type:Organization
Organization Name:SRI SAI KRISH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:VIJAYAKUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BHASKAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-890-7023
Mailing Address - Street 1:12362 BEACH BLVD STE 14
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3957
Mailing Address - Country:US
Mailing Address - Phone:714-890-7023
Mailing Address - Fax:
Practice Address - Street 1:12362 BEACH BLVD STE 14
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3957
Practice Address - Country:US
Practice Address - Phone:714-890-7023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care