Provider Demographics
NPI:1730253444
Name:CURECARE MEDICAL EQUIP & SUP
Entity type:Organization
Organization Name:CURECARE MEDICAL EQUIP & SUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:EXEMPTEE CERTIFIED P
Authorized Official - Phone:562-697-5727
Mailing Address - Street 1:631 S PALM ST
Mailing Address - Street 2:UNIT I
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5764
Mailing Address - Country:US
Mailing Address - Phone:562-697-5727
Mailing Address - Fax:562-697-2047
Practice Address - Street 1:631 S PALM
Practice Address - Street 2:UNIT I
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631
Practice Address - Country:US
Practice Address - Phone:562-697-5727
Practice Address - Fax:562-697-2047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADME02412F332B00000X
CA100483332BX2000X
CA15483332BX2000X
CA20210335E00000X
CA1208740001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02412FMedicaid
CA1208740001Medicare NSC