Healthcare Provider Details

I. General information

NPI: 1487350419
Provider Name (Legal Business Name): RC CONSOLIDATED SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 PENNY CT
RANCHO CUCAMONGA CA
91739-2565
US

IV. Provider business mailing address

PO BOX 914
RANCHO CUCAMONGA CA
91729-0914
US

V. Phone/Fax

Practice location:
  • Phone: 909-977-1945
  • Fax:
Mailing address:
  • Phone: 310-808-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: BRAD JOHNSON
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 909-977-1945