Permanently RevokedNot in good standing
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
Record
- Entity Number
- E0448422006-0
- NV Business ID
- NV20061076840
- Entity type
- Domestic Corporation
- Formed
- June 14, 2006
- Authorized capital
- $75,000
- Record as of
- September 17, 2026
Registered agent
EASTBIZ.COM, INC.· 500+ entities
5348 VEGAS DRIVE · LAS VEGAS, NV 89108· 500+ entities
Principal office
Not on file
Mailing address
Not on file
Officers, managers, and members
| Name | Role | Address |
|---|---|---|
| ROBERT BUCETA· 3 entities | President | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647· 25 entities |
| HENRY D FAHMAN· 17 entities | Secretary | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647· 25 entities |
| HENRY D FAHMAN· 17 entities | Treasurer | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647· 25 entities |
| ROBERT BUCETA· 3 entities | Director | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647· 25 entities |
| HENRY D FAHMAN· 17 entities | Director | 17011 BEACH BLVD., · SUITE 1230 · HUNTINGTON BEACH, CA 92647· 25 entities |
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