Provider Demographics
NPI:1982766622
Name:MEDICAL SYSTEMS HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:MEDICAL SYSTEMS HOME HEALTH CARE, INC
Other - Org Name:RESP AIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:GURINDER
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-444-0471
Mailing Address - Street 1:17150 EUCLID ST STE 306
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4092
Mailing Address - Country:US
Mailing Address - Phone:714-444-0471
Mailing Address - Fax:714-966-2966
Practice Address - Street 1:17150 EUCLID ST STE 306
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4092
Practice Address - Country:US
Practice Address - Phone:714-444-0471
Practice Address - Fax:714-966-2966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103548332B00000X
CA100302332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME01781FMedicaid
CA0660920001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER