Provider Demographics
NPI:1538530795
Name:ROSS LAMBERT INVESTMENT INC.
Entity type:Organization
Organization Name:ROSS LAMBERT INVESTMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAMBERTO
Authorized Official - Middle Name:BERNIA
Authorized Official - Last Name:CAMUA
Authorized Official - Suffix:III
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:310-344-3103
Mailing Address - Street 1:66171 S AGUA DULCE DR
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-8111
Mailing Address - Country:US
Mailing Address - Phone:760-251-4606
Mailing Address - Fax:
Practice Address - Street 1:66171 S AGUA DULCE DR
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-8111
Practice Address - Country:US
Practice Address - Phone:760-251-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336423690302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization