Provider Demographics
NPI:1689915274
Name:BIOCARE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:BIOCARE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MOFFIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-476-7679
Mailing Address - Street 1:9830 6TH STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7969
Mailing Address - Country:US
Mailing Address - Phone:909-466-4111
Mailing Address - Fax:951-572-3745
Practice Address - Street 1:9830 6TH STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7969
Practice Address - Country:US
Practice Address - Phone:909-466-4111
Practice Address - Fax:951-572-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies