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NPI Code Detail

MEDICARE: LATINO HEALTH CARE DIRECT INC.

MEDICARE: LATINO HEALTH CARE DIRECT INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1407805278
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATINO HEALTH CARE DIRECT INC.
Provider Business Mailing Address
First Line : 22855 SAVI RANCH PKWY
Second Line : STE. A
City : YORBA LINDA
State : CA
Zip : 92887-4627
Country : US
Telephone Number : 714-279-0318
Fax Number : 714-279-9197
Provider Business Practice Location Address
First Line : 22855 SAVI RANCH PKWY
Second Line : STE. A
City : YORBA LINDA
State : CA
Zip : 92887-4627
Country : US
Telephone Number : 714-279-0318
Fax Number : 714-279-9197
Authorized Official
Title or Position : PRESIDENT
Name : CARL REYNOLDS
Credential :
Telephone Number : 714-279-0318
Provider Enumeration Date : 05/09/2006
Last Update Date : 08/22/2020

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Directions to “LATINO HEALTH CARE DIRECT INC. ” Practice Location

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