Provider Demographics
NPI:1720206915
Name:HEARTCHARGER LLC
Entity Type:Organization
Organization Name:HEARTCHARGER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CYRKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-263-3565
Mailing Address - Street 1:3629 W MACARTHUR BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6844
Mailing Address - Country:US
Mailing Address - Phone:888-432-7881
Mailing Address - Fax:714-557-2105
Practice Address - Street 1:3629 W MACARTHUR BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6844
Practice Address - Country:US
Practice Address - Phone:888-432-7881
Practice Address - Fax:714-557-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies