Healthcare Provider Details
I. General information
NPI: 1801404199
Provider Name (Legal Business Name): COVERING WITH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2020
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21350 AVALON BLVD UNIT 5039
CARSON CA
90749-7032
US
IV. Provider business mailing address
21350 AVALON BLVD UNIT 5039
CARSON CA
90749-7032
US
V. Phone/Fax
- Phone: 424-221-4754
- Fax: 424-300-8457
- Phone: 424-221-4754
- Fax: 424-300-8457
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANITTA
LITTLETON
Title or Position: OWNER
Credential:
Phone: 424-221-4754