Organization
ADVANCED HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YEA REAL (OFFICE MANGAER)
(909) 444-2991
Entity
Organization
Contact information
Practice address
312 PASEO TESORO, WALNUT, CA 91789-2725
(909) 444-2991
(909) 444-5503
Mailing address
23785 CANYON VISTA CT, DIAMOND BAR, CA 91765-6116
(909) 861-4871
(909) 444-5503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275587685
—
UT
05
—
200282740A
—
IN
05
—
874736565
—
MI
05
—
90006339
—
KY
05
—
9000633900
—
KY
05
—
9052838
—
WA
05
—
DME02989G
—
CA
Enumeration date
05/20/2006
Last updated
05/15/2008
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