1730253444 NPI number — CURECARE MEDICAL EQUIP & SUP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730253444 NPI number — CURECARE MEDICAL EQUIP & SUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURECARE MEDICAL EQUIP & SUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730253444
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
631 S PALM ST
Provider Second Line Business Mailing Address:
UNIT I
Provider Business Mailing Address City Name:
LA HABRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90631-5764
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-697-5727
Provider Business Mailing Address Fax Number:
562-697-2047

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
631 S PALM
Provider Second Line Business Practice Location Address:
UNIT I
Provider Business Practice Location Address City Name:
LA HABRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-697-5727
Provider Business Practice Location Address Fax Number:
562-697-2047
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GOMEZ
Authorized Official First Name:
CRYSTAL
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
OWNER PRESIDENT
Authorized Official Telephone Number:
562-697-5727

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  DME02412F , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 100483 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 15483 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X , with the licence number: 20210 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 1208740001 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DME02412F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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