Provider Demographics
NPI:1336434877
Name:DIAMOND RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:DIAMOND RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-686-0418
Mailing Address - Street 1:9424 CHESAPEAKE DR
Mailing Address - Street 2:SUITE 1304
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1334
Mailing Address - Country:US
Mailing Address - Phone:951-686-0418
Mailing Address - Fax:951-686-9568
Practice Address - Street 1:9424 CHESAPEAKE DR
Practice Address - Street 2:SUITE 1304
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1334
Practice Address - Country:US
Practice Address - Phone:951-686-0418
Practice Address - Fax:951-686-9568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72316332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5670990002Medicare NSC