Healthcare Provider Details

I. General information

NPI: 1992990303
Provider Name (Legal Business Name): HUNTLEIGH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 N. MAGNOLIA AVE. STE. M
EL CAJON CA
92020-1675
US

IV. Provider business mailing address

40 CHRISTOPHER WAY
EATONTOWN NJ
07724-3327
US

V. Phone/Fax

Practice location:
  • Phone: 619-447-2103
  • Fax: 619-447-3435
Mailing address:
  • Phone: 800-223-1218
  • Fax: 732-676-1096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number102522
License Number StateCA

VIII. Authorized Official

Name: MR. ROBERT S ANGEL
Title or Position: PRES/CEO
Credential:
Phone: 800-223-1218