Provider Demographics
NPI:1952700239
Name:HEALTHCOM MEDICAL GROUP, INC
Entity Type:Organization
Organization Name:HEALTHCOM MEDICAL GROUP, INC
Other - Org Name:HEALTHCOM INFUSION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-261-5866
Mailing Address - Street 1:13181 CROSSROADS PKWY N STE 200
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91746-3451
Mailing Address - Country:US
Mailing Address - Phone:323-261-5866
Mailing Address - Fax:
Practice Address - Street 1:289 W. HUNTINGTON DRIVE SUITE 205
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-3451
Practice Address - Country:US
Practice Address - Phone:323-261-5866
Practice Address - Fax:626-739-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy