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1053593137 NPI number — PULMOCARE RESPIRATORY SERVICES, INC.

NPI Number: 1053593137
Health Care Provider/Practitioner: PULMOCARE RESPIRATORY SERVICES, INC.

Information about “1053593137” NPI (PULMOCARE RESPIRATORY SERVICES, INC.) exists in 1053593137 in HTML format HTML  |  1053593137 in plain Text format TXT  |  1053593137 in PDF (Portable Document Format) PDF  |  1053593137 in an XML format XML  formats.

NPI Number : 1053593137 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053593137",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PULMOCARE RESPIRATORY SERVICES, INC.",
    "ParentOrgTIN": null,
    "OrgName": "PULMOCARE RESPIRATORY SERVICES, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 721",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92324-0721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-777-5000",
    "MailingAddressFaxNumber": "909-777-5005",
    "FirstLinePracticeLocationAddress": "9353 ACTIVITY RD",
    "SecondLinePracticeLocationAddress": "SUITE F",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92126-4412",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-547-9100",
    "PracticeLocationAddressFaxNumber": "909-777-5005",
    "EnumerationDate": "11/30/2007",
    "LastUpdateDate": "09/20/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GINGLES",
    "AuthorizedOfficialFirstName": "BRUCE",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-777-5000",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "100577",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "53198",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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