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VALLEY NEPHROLOGY & HYPERTENSION, PLLC

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Company Details

Legal Name: VALLEY NEPHROLOGY & HYPERTENSION, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 23rd 2005
Date of Dissolution: December 3rd 2012
Expiration date: 31 Aug 2012
UBI Number: 602 533 242
ZIP code: 98055
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4033 TALBOT RD S # 430, RENTON, WA, 98055, UNITED STATES

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Registered Agent Information

Name Role Address
DAVID E LOSHNER Registered Agent 4300 TALBOT RD S #403, RENTON, WA, 98055, UNITED STATES

Key Officers & Management

Name Role Address
URLMA QUIJADA Governing Person -
FRANK FUNG Governing Person -
DANIEL HU Governing Person -
VILMA QUIJADA MD EXECUTOR 4033 TALBOT RD S, RENTON, WA, 98055, UNITED STATES

National Provider Identifier

NPI Number:
1356531602

Authorized Person:

Name:
DR. FRANK FUNG
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
4252270177

Form 5500 Series

Employer Identification Number (EIN):
611511559
Plan Year:
2011
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
FRANK FUNG, MD(Plan administrator)
Plan Year:
2010
Number Of Participants:
10
Sponsor's telephone number:
Plan Administrator / Signatory:
FRANK FUNG, MD(Plan administrator)
Plan Year:
2009
Number Of Participants:
10
Sponsor's telephone number:
Plan Administrator / Signatory:
FRANK FUNG, MD(Plan administrator)
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