Provider Demographics
NPI:1477117489
Name:FAMILY HEALTH DME
Entity Type:Organization
Organization Name:FAMILY HEALTH DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGHERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-981-6099
Mailing Address - Street 1:16766 BERNARDO CENTER DR STE 214
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2502
Mailing Address - Country:US
Mailing Address - Phone:858-227-0917
Mailing Address - Fax:877-334-9598
Practice Address - Street 1:16766 BERNARDO CENTER DR STE 214
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2502
Practice Address - Country:US
Practice Address - Phone:858-227-0917
Practice Address - Fax:877-334-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies