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CALIFORNIA HEALTHCARE MEDICAL SUPPLY INC. NPI 1225069321


NPI Information

NPI: 1225069321
Provider Name: CALIFORNIA HEALTHCARE MEDICAL SUPPLY, INC.

Other Name: CA HLTHC MED

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D2193530

Address:
12702 MAGNOLIA AVE STE 18
RIVERSIDE, CA
ZIP 92503
Phone: (951) 340-2422
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CALIFORNIA HEALTHCARE MEDICAL SUPPLY, INC. is a durable medical equipment medical supplies in Riverside, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CALIFORNIA HEALTHCARE MEDICAL SUPPLY, INC. NPI is 1225069321. The provider is registered as an organization entity type.
The provider Other Name Is Ca Hlthc Med.

The provider's business location address is:

12702 MAGNOLIA AVE STE 18
RIVERSIDE, CA
ZIP 92503-622
Phone: (951) 340-2422
Fax: (951) 340-2622

The provider's authorized official is George Nze .
The authorized official title is Executive Director and has the following contact phone number (951) 833-8426.

The CLIA number assigned to this NPI record is 05D2193530 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies47523CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15862580001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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