Provider Demographics
NPI:1730571332
Name:AT2J ENTERPRISES, INC.
Entity type:Organization
Organization Name:AT2J ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-579-9324
Mailing Address - Street 1:1717 SIMI TOWN CENTER WAY STE 3
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-8408
Mailing Address - Country:US
Mailing Address - Phone:805-579-9324
Mailing Address - Fax:
Practice Address - Street 1:1717 SIMI TOWN CENTER WAY STE 3
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-8408
Practice Address - Country:US
Practice Address - Phone:805-579-9324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty
No332S00000XSuppliersHearing Aid Equipment