Provider Demographics
NPI:1538424593
Name:E.C. MEDCARE EQUIPMENT & SUPPLIES
Entity type:Organization
Organization Name:E.C. MEDCARE EQUIPMENT & SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:PARAISO
Authorized Official - Last Name:CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-742-4279
Mailing Address - Street 1:3210 N SAN FERNANDO BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2528
Mailing Address - Country:US
Mailing Address - Phone:310-272-9998
Mailing Address - Fax:818-302-2317
Practice Address - Street 1:3210 N SAN FERNANDO BLVD.
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2061
Practice Address - Country:US
Practice Address - Phone:310-272-9998
Practice Address - Fax:818-302-2317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54942332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies