Provider Demographics
NPI:1508916412
Name:CHINO HILLS MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:CHINO HILLS MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-861-7100
Mailing Address - Street 1:402 S PROSPECTORS RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1659
Mailing Address - Country:US
Mailing Address - Phone:909-861-7100
Mailing Address - Fax:909-861-7118
Practice Address - Street 1:402 S PROSPECTORS RD
Practice Address - Street 2:SUITE D
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1659
Practice Address - Country:US
Practice Address - Phone:909-861-7100
Practice Address - Fax:909-861-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45869332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies