Provider Demographics
NPI:1730497553
Name:HEALTHCARE MANAGEMENT ASSOCIATES
Entity Type:Organization
Organization Name:HEALTHCARE MANAGEMENT ASSOCIATES
Other - Org Name:HMA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-908-5959
Mailing Address - Street 1:PO BOX 3175
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-3175
Mailing Address - Country:US
Mailing Address - Phone:714-908-5959
Mailing Address - Fax:714-533-3712
Practice Address - Street 1:5584 N PARAMOUNT BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-5149
Practice Address - Country:US
Practice Address - Phone:714-908-5959
Practice Address - Fax:714-533-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies