Provider Demographics
NPI:1881874113
Name:AFFORDABLE BREATHING CARE
Entity type:Organization
Organization Name:AFFORDABLE BREATHING CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MEDHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HALIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-725-2300
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0777
Mailing Address - Country:US
Mailing Address - Phone:661-725-2300
Mailing Address - Fax:
Practice Address - Street 1:1402 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2222
Practice Address - Country:US
Practice Address - Phone:661-725-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-03
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100067332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0605990001Medicare NSC