Organization
FOOTHILL HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL BAHREMAND (OWNER)
(626) 962-0242
Entity
Organization
Contact information
Practice address
12921 RAMONA BLVD, SUITE C, IRWINDALE, CA 91706-3748
(626) 962-0242
(626) 962-0249
Mailing address
12921 RAMONA BLVD, SUITE C, IRWINDALE, CA 91706-3748
(626) 962-0242
(626) 962-0249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00813F
—
CA
Enumeration date
07/21/2006
Last updated
07/27/2009
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