Permanently Revoked
providential western medical, inc.
Domestic Corporation · Entity Number E0448422006-0 · NV Business ID NV20061076840
- Formed
- June 14, 2006
- Annual List
- Due by June 30, 2007
- Managed by
- Not on file
- Status changed
- July 1, 2013
Registered agent
EASTBIZ.COM, INC.
5348 VEGAS DRIVE · LAS VEGAS, NV 89108
Principal office
Not on file
Mailing address
Not on file
Officers, managers, and members
| Name | Role | Address |
|---|---|---|
| ROBERT BUCETA | President | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647 |
| HENRY D FAHMAN | Secretary | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647 |
| HENRY D FAHMAN | Treasurer | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647 |
| ROBERT BUCETA | Director | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647 |
| HENRY D FAHMAN | Director | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647 |
Information is drawn from the public record and may lag the state by up to one day. NVAnnualReport.com is not affiliated with the Secretary of State of Nevada.