Provider Demographics
NPI:1366722779
Name:LETRIX POWER USA
Entity type:Organization
Organization Name:LETRIX POWER USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-600-5408
Mailing Address - Street 1:23182 ALCALDE DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1450
Mailing Address - Country:US
Mailing Address - Phone:949-600-5408
Mailing Address - Fax:949-600-5414
Practice Address - Street 1:23182 ALCALDE DR
Practice Address - Street 2:SUITE H
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1450
Practice Address - Country:US
Practice Address - Phone:949-600-5408
Practice Address - Fax:949-600-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAK103771332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies