Provider Demographics
NPI:1083755052
Name:HBM CREATIVE - FS PASADENA, INC.
Entity Type:Organization
Organization Name:HBM CREATIVE - FS PASADENA, INC.
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MONTANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-625-7640
Mailing Address - Street 1:939 W HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-3111
Mailing Address - Country:US
Mailing Address - Phone:626-358-3668
Mailing Address - Fax:626-358-3655
Practice Address - Street 1:939 W HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-3111
Practice Address - Country:US
Practice Address - Phone:626-358-3668
Practice Address - Fax:626-358-3655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5931810001Medicare NSC