Provider Demographics
NPI:1548887755
Name:COMFORTMAVENS GROUP, INC.
Entity type:Organization
Organization Name:COMFORTMAVENS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:REYNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-338-8760
Mailing Address - Street 1:2340 PLAZA DEL AMO STE 235
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3453
Mailing Address - Country:US
Mailing Address - Phone:310-787-7300
Mailing Address - Fax:310-787-7303
Practice Address - Street 1:2307 W 231ST ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-5214
Practice Address - Country:US
Practice Address - Phone:424-263-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging