Organization
BLUECHIP INFUSION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JACOBS (PRESIDENT)
(949) 340-6413
Entity
Organization
Contact information
Practice address
2250 S MAIN ST, SUITE 106, CORONA, CA 92882-2534
(949) 340-6413
Mailing address
2250 S MAIN ST, SUITE 106, CORONA, CA 92882-2534
(949) 340-6413
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
662518
CA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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