1184042327 NPI number — DIAMOND RESPIRATORY CARE, INC.

Table of content: (NPI 1184042327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184042327 NPI number — DIAMOND RESPIRATORY CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIAMOND RESPIRATORY CARE, INC.
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:
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:
1184042327
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1403 PALMYRITA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92507-1600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-686-0418
Provider Business Mailing Address Fax Number:
951-686-9568

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7801 TELEGRAPH RD
Provider Second Line Business Practice Location Address:
SUITE N
Provider Business Practice Location Address City Name:
MONTEBELLO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90640-6531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-977-3002
Provider Business Practice Location Address Fax Number:
800-438-2048
Provider Enumeration Date:
04/04/2014

Additional Information

Authorized Official

Authorized Official Last Name:
RICE
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
951-686-0418

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  72316 , 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)





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