Provider Demographics
NPI:1205351749
Name:DOCTORS HOME HEALTH SOUTHERN CALIFORNIA INC
Entity type:Organization
Organization Name:DOCTORS HOME HEALTH SOUTHERN CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-479-0324
Mailing Address - Street 1:14125 TELEPHONE AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5771
Mailing Address - Country:US
Mailing Address - Phone:909-465-9002
Mailing Address - Fax:909-479-0351
Practice Address - Street 1:14125 TELEPHONE AVE STE 14
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5771
Practice Address - Country:US
Practice Address - Phone:909-465-9002
Practice Address - Fax:909-479-0351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health