# PROFESSIONAL HEALTH MEDIA SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homecare Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841348216
- **Authorized official:** MR. HAROLD F GOOGE (PRESIDENT)
- **Authorized official phone:** (909) 796-6996

## Contact information

- **Practice address:** 25244 REDLANDS BLVD, LOMA LINDA, CA 92354-1924
- **Practice address phone:** (909) 796-6996
- **Practice address fax:** (909) 799-6620
- **Mailing address:** PO BOX 922, 25244 REDLANDS BLVD, LOMA LINDA, CA 92354-0922
- **Mailing address phone:** (909) 796-6996
- **Mailing address fax:** (909) 799-6620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020