Provider Demographics
NPI:1780636886
Name:HOMOX CORPORATION
Entity Type:Organization
Organization Name:HOMOX CORPORATION
Other - Org Name:HOMOX MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BALJINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGGA
Authorized Official - Suffix:
Authorized Official - Credentials:R N
Authorized Official - Phone:626-918-3211
Mailing Address - Street 1:1643 N HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91744-1137
Mailing Address - Country:US
Mailing Address - Phone:626-918-3211
Mailing Address - Fax:626-917-8124
Practice Address - Street 1:1643 N HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-1137
Practice Address - Country:US
Practice Address - Phone:626-918-3211
Practice Address - Fax:626-917-8124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100004332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00271GMedicaid
CAZZZ97855ZOtherBLUE SHIELD OF CALIFORNIA
CA0174190001Medicare NSC