MEDICARE: HEALTHCARE MANAGEMENT ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1730497553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE MANAGEMENT ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 3175
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-3175
Country	:	US
Telephone Number	:	714-908-5959
Fax Number	:	714-533-3712

Provider Business Practice Location Address
First Line	:	5584 N PARAMOUNT BLVD STE 201
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-5149
Country	:	US
Telephone Number	:	714-908-5959
Fax Number	:	714-533-3712

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARY AVILES
Credential	:
Telephone Number	:	714-908-5959

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	09/14/2010

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