Organization
MARK HICKS
Active
Other names
Naptime Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK P HICKS BS RRT RCP (PRESIDENT)
(562) 691-7161
Entity
Organization
Contact information
Practice address
1280 W LAMBERT RD, SUITE B, BREA, CA 92821-2820
(562) 691-7161
(562) 691-7162
Mailing address
1280 W LAMBERT RD, SUITE B, BREA, CA 92821-2820
(562) 691-7161
(562) 691-7162
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
10079550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01723G
—
CA
Enumeration date
09/26/2006
Last updated
09/20/2011
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