Provider Demographics
NPI:1700251444
Name:MP MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:MP MEDICAL SERVICES, INC
Other - Org Name:ALPHA CARE HOSPICE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-628-3989
Mailing Address - Street 1:12598 CENTRAL AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3502
Mailing Address - Country:US
Mailing Address - Phone:909-628-3989
Mailing Address - Fax:909-628-3576
Practice Address - Street 1:12598 CENTRAL AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3502
Practice Address - Country:US
Practice Address - Phone:909-628-3989
Practice Address - Fax:909-628-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2069100251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based