Provider Demographics
NPI:1427705268
Name:HTAT LLC
Entity type:Organization
Organization Name:HTAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCREDITATION COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-337-3267
Mailing Address - Street 1:436 N ROXBURY DR STE 117
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5016
Mailing Address - Country:US
Mailing Address - Phone:424-284-3217
Mailing Address - Fax:
Practice Address - Street 1:436 N ROXBURY DR STE 117
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5016
Practice Address - Country:US
Practice Address - Phone:424-284-3217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical