Organization
ASA'S RESPIRATORY CARE SERVICE'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASA LLOYD HAWKINS RCP (OWNER)
(951) 224-2607
Entity
Organization
Contact information
Practice address
124 W FOOTHILL BLVD STE B, RIALTO, CA 92376-5072
(951) 224-2607
Mailing address
124 W FOOTHILL BLVD STE B, RIALTO, CA 92376-5072
(951) 224-2607
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
0009856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PIN NUMBER PENDING
CA
Enumeration date
05/22/2009
Last updated
05/22/2009
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