Provider Demographics
NPI:1629129283
Name:HOME MEDICAL LEADERS INC
Entity Type:Organization
Organization Name:HOME MEDICAL LEADERS INC
Other - Org Name:PALOMAR MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHI
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-433-2800
Mailing Address - Street 1:602 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6441
Mailing Address - Country:US
Mailing Address - Phone:760-433-2800
Mailing Address - Fax:760-433-2864
Practice Address - Street 1:602 VISTA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6441
Practice Address - Country:US
Practice Address - Phone:760-433-2800
Practice Address - Fax:760-433-2864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5961560001Medicare NSC