Provider Demographics
NPI:1184042327
Name:DIAMOND RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:DIAMOND RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-686-0418
Mailing Address - Street 1:1403 PALMYRITA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-1600
Mailing Address - Country:US
Mailing Address - Phone:951-686-0418
Mailing Address - Fax:951-686-9568
Practice Address - Street 1:7801 TELEGRAPH RD
Practice Address - Street 2:SUITE N
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-6531
Practice Address - Country:US
Practice Address - Phone:800-977-3002
Practice Address - Fax:800-438-2048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72316332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies