Organization Name: | MP MEDICAL SERVICES, INC |
NPI Number: | 1700251444 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTIN P MARIANO (OFFICE MANAGER) |
Mailing Address: | 12598 Central Ave Suite 215 Chino |
State: | CA US |
Postal Code: | 917103502 |
Phone Number: | 9096283989 |
Fax Number: | 9096283576 |
NPI Enumeration Date: | 12/07/2015 |
NPI Last Update Date: | 12/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 05D2069100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |