Organization
HCR ENTERPRISES
Active
Other names
PSP Medical
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD CHARLES RUDIN (PRESIDENT)
(800) 841-0101
Entity
Organization
Contact information
Practice address
12401 SLAUSON AVE, D, WHITTIER, CA 90606-2830
(800) 841-0101
(562) 801-4711
Mailing address
12401 SLAUSON AVE, D, WHITTIER, CA 90606-2830
(800) 841-0101
(562) 801-4711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730290826
MEDI-CAL
CA
Enumeration date
08/31/2006
Last updated
11/25/2014
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