Organization
AEROMEDIC HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER REVILLA PASCUA (PRESIDENT)
(909) 592-6400
Entity
Organization
Contact information
Practice address
425 W ALLEN AVE STE 110, SAN DIMAS, CA 91773-1485
(909) 592-6400
Mailing address
425 W ALLEN AVE STE 110, SAN DIMAS, CA 91773-1485
(909) 592-6400
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
54904
CA
Other
Enumeration date
02/17/2011
Last updated
10/26/2012
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