Provider Demographics
NPI:1710959259
Name:L.E.C. HOME CARE MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:L.E.C. HOME CARE MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:VILLACARLOS
Authorized Official - Last Name:CATALASAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:714-821-4298
Mailing Address - Street 1:10732 LOS VAQUEROS CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2515
Mailing Address - Country:US
Mailing Address - Phone:714-821-4298
Mailing Address - Fax:714-821-6940
Practice Address - Street 1:10732 LOS VAQUEROS CIR
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2515
Practice Address - Country:US
Practice Address - Phone:714-821-4298
Practice Address - Fax:714-821-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME01987GMedicaid
CADME01987GMedicaid