HOME DIAGNOSTIC MANAGEMENT SERVICES LLC


Address: 24663 Pennsylvania Ave Apt 10, Lomita, CA 90717-1444
Phone: 2096129792

HOME DIAGNOSTIC MANAGEMENT SERVICES LLC (NPI# 1730597402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730597402
Entity Type Organization
Organization Name HOME DIAGNOSTIC MANAGEMENT SERVICES LLC
Practice Address 24663 Pennsylvania Ave Apt 10
Lomita
CA 90717-1444
Practice Telephone 2096129792
Mailing Telephone 2096129792
Enumeration Date 2014-07-25
Last Update Date 2014-07-25
Authorized Official Name MR. MANUEL FUENTES (OWNER)
Authorized Official Telephone 2096129792
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
Ambulatory Health Care Facilities

Office Location

Street Address 24663 PENNSYLVANIA AVE APT 10
City LOMITA
State CA
Zip Code 90717-1444

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Taxonomy Information

Taxonomy Code 261QS1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Sleep Disorder Diagnostic

Taxonomy Definition

Definition to come...

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1912559741 San Francisco Sleep, LLC Clinic/Center 2001 Union St Ste 250, San Francisco, CA 94123-4107 2019-07-11
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Competitor

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City LOMITA
Zip Code 90717

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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