Provider Demographics
NPI:1952528788
Name:CARE DIMENSIONS - NEVADA LLC
Entity Type:Organization
Organization Name:CARE DIMENSIONS - NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:TRAM
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-366-7088
Mailing Address - Street 1:3130 S HARBOR BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6824
Mailing Address - Country:US
Mailing Address - Phone:888-366-7088
Mailing Address - Fax:714-619-8769
Practice Address - Street 1:3130 S HARBOR BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6824
Practice Address - Country:US
Practice Address - Phone:888-366-7088
Practice Address - Fax:714-619-8769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies