Healthcare Provider Details

I. General information

NPI: 1376454553
Provider Name (Legal Business Name): BGM MEDICAL SERVICES INC A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 CREEKSIDE DR
HEMET CA
92545-9061
US

IV. Provider business mailing address

524 W 4TH ST STE B
PERRIS CA
92570-2016
US

V. Phone/Fax

Practice location:
  • Phone: 951-355-0030
  • Fax:
Mailing address:
  • Phone: 951-355-0030
  • Fax: 951-420-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BELINDA ADDO
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 951-355-0030