Organization
PROFESSIONAL HEALTH MEDIA SERVICES, INC
Active
Other names
Homecare Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD F GOOGE (PRESIDENT)
(909) 796-6996
Entity
Organization
Contact information
Practice address
25244 REDLANDS BLVD, LOMA LINDA, CA 92354-1924
(909) 796-6996
(909) 799-6620
Mailing address
PO BOX 922, 25244 REDLANDS BLVD, LOMA LINDA, CA 92354-0922
(909) 796-6996
(909) 799-6620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00159F
—
CA
Enumeration date
01/08/2007
Last updated
08/22/2020
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