Provider Demographics
NPI:1407805278
Name:LATINO HEALTH CARE DIRECT INC.
Entity Type:Organization
Organization Name:LATINO HEALTH CARE DIRECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-279-0318
Mailing Address - Street 1:22855 SAVI RANCH PKWY
Mailing Address - Street 2:STE. A
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4627
Mailing Address - Country:US
Mailing Address - Phone:714-279-0318
Mailing Address - Fax:714-279-9197
Practice Address - Street 1:22855 SAVI RANCH PKWY
Practice Address - Street 2:STE. A
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4627
Practice Address - Country:US
Practice Address - Phone:714-279-0318
Practice Address - Fax:714-279-9197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies