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General NPI Number Information
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NPI Number | 1225069321
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HEALTHCARE MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 12702 MAGNOLIA AVE STE 18
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City | RIVERSIDE
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State | CA
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Zip | 92503-4622
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Country | US
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Telephone | 951-340-2422
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Fax | 951-340-2622
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Provider Business Mailing Address
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Address Line | 12702 MAGNOLIA AVE STE 18
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City | RIVERSIDE
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State | CA
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Zip | 92503-4622
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Country | US
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Telephone | 951-340-2422
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Fax | 951-340-2622
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GEORGE NZE
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Credential |
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Telephone | 951-833-8426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 47523
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License Number State | CA
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