Organization
HS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GONZALO ALMONTE SANTA MARIA RCP (PRESIDENT)
(909) 370-3979
Entity
Organization
Contact information
Practice address
671 S COOLEY DRIVE, SUITE 103, COLTON, CA 92324
(909) 370-3979
(909) 370-3923
Mailing address
PO BOX 2118, COLTON, CA 92324-0823
(909) 370-3979
(909) 370-3923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66608Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
06/23/2006
Last updated
04/20/2008
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