Provider Demographics
NPI:1740429083
Name:H2 MEDICAL SRVICES LLC
Entity type:Organization
Organization Name:H2 MEDICAL SRVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RIKKI
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-550-8678
Mailing Address - Street 1:300 W GLENOAKS BLVD
Mailing Address - Street 2:202
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2941
Mailing Address - Country:US
Mailing Address - Phone:818-550-8678
Mailing Address - Fax:818-550-1886
Practice Address - Street 1:300 W GLENOAKS BLVD
Practice Address - Street 2:202
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2941
Practice Address - Country:US
Practice Address - Phone:818-550-8678
Practice Address - Fax:818-550-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care