Healthcare Provider Details

I. General information

NPI: 1366441909
Provider Name (Legal Business Name): CHOICE HOME MEDICAL SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 IMPERIAL HWY STE E-1
DOWNEY CA
90242-3469
US

IV. Provider business mailing address

12 RANCHO CIR
LAKE FOREST CA
92630-8325
US

V. Phone/Fax

Practice location:
  • Phone: 562-256-9961
  • Fax: 562-256-9981
Mailing address:
  • Phone: 844-865-2814
  • Fax: 844-329-0990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number47494
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number47494
License Number StateCA

VIII. Authorized Official

Name: DONALD R. WOODS
Title or Position: PRESIDENT
Credential:
Phone: 844-865-2814