Provider Demographics
NPI:1730478058
Name:H&H MEDICAL SUPPLY
Entity Type:Organization
Organization Name:H&H MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-245-8300
Mailing Address - Street 1:828 E COLORADO ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4519
Mailing Address - Country:US
Mailing Address - Phone:818-245-8300
Mailing Address - Fax:818-245-8301
Practice Address - Street 1:828 E COLORADO ST
Practice Address - Street 2:UNIT B
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4519
Practice Address - Country:US
Practice Address - Phone:818-245-8300
Practice Address - Fax:818-245-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies