Provider Demographics
NPI:1023228905
Name:VIBS CO.
Entity type:Organization
Organization Name:VIBS CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:YEKIKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-248-1222
Mailing Address - Street 1:1412 VAL VERDE PL
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1120
Mailing Address - Country:US
Mailing Address - Phone:818-248-1222
Mailing Address - Fax:818-248-1877
Practice Address - Street 1:1412 VAL VERDE PL
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1120
Practice Address - Country:US
Practice Address - Phone:818-248-1222
Practice Address - Fax:818-248-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty