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NPI Code Detail

MEDICARE: HARBOR VIEW MEDICAL SERVICES INC.

MEDICARE: HARBOR VIEW MEDICAL SERVICES INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies101-315059CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1101-315059OTHERCADME LICENCE
2101-315059OTHERCACA SELLER'S PERMIT

General Provider Information

NPI Number : 1871822122
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARBOR VIEW MEDICAL SERVICES INC.
Provider Business Mailing Address
First Line : 24328 VERMONT AVE
Second Line : SUITE 231
City : HARBOR CITY
State : CA
Zip : 90710-2314
Country : US
Telephone Number : 310-539-3500
Fax Number : 310-517-0171
Provider Business Practice Location Address
First Line : 24328 VERMONT AVE
Second Line : SUITE 231
City : HARBOR CITY
State : CA
Zip : 90710-2314
Country : US
Telephone Number : 310-539-3500
Fax Number : 310-517-0171
Authorized Official
Title or Position : PRESIDENT
Name : MR. RAFAEL ANTONIO VARGAS
Credential :
Telephone Number : 310-539-3500
Provider Enumeration Date : 12/16/2009
Last Update Date : 01/11/2011

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Directions to “HARBOR VIEW MEDICAL SERVICES INC. ” Practice Location

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