Provider Demographics
NPI:1902147770
Name:EL MASPURO INVESTMENT ENTERPRISES, INC
Entity Type:Organization
Organization Name:EL MASPURO INVESTMENT ENTERPRISES, INC
Other - Org Name:JOSEPH WEIGEL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:626-646-9072
Mailing Address - Street 1:19325 E SWANEE LN
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3257
Mailing Address - Country:US
Mailing Address - Phone:626-646-9072
Mailing Address - Fax:626-332-1551
Practice Address - Street 1:19325 E SWANEE LN
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3257
Practice Address - Country:US
Practice Address - Phone:626-646-9072
Practice Address - Fax:626-332-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16725261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)