Provider Demographics
NPI:1164403820
Name:FOOTHILL OPERATIONS INC.
Entity Type:Organization
Organization Name:FOOTHILL OPERATIONS INC.
Other - Org Name:HEALTHCARE EQUIPMENT CENTER OF SGV
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-963-7262
Mailing Address - Street 1:910 S GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4808
Mailing Address - Country:US
Mailing Address - Phone:626-963-7262
Mailing Address - Fax:626-963-1243
Practice Address - Street 1:910 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4808
Practice Address - Country:US
Practice Address - Phone:626-963-7262
Practice Address - Fax:626-963-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME01078FMedicaid
CA0340200001Medicare NSC