Organization
SIERRA HOME CARE A CALIFORNIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA FAYE MURRAY RCP (OWNER)
(800) 696-2968
Entity
Organization
Contact information
Practice address
2114 PORTERFIELD WAY, UPLAND, CA 91786-2111
(800) 696-2968
(877) 275-5868
Mailing address
P O BOX 310, UPLAND, CA 91785-0310
(800) 696-2968
(877) 275-5868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
100405
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00782G
—
CA
01
—
ZZZ20890Z
BLUE SHIELD
CA
Enumeration date
10/14/2005
Last updated
08/13/2012
Update your record
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