Coram Alternate Site Services Inc in San Diego - Parenteral & Enteral Nutrition
Coram Alternate Site Services Inc - NPI 1790734036
Coram Alternate Site Services Inc is a Parenteral & Enteral Nutrition in San Diego, California. Coram Alternate Site Services Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Coram Alternate Site Services Inc is 1790734036. The last update date is 2023-03-07.
Coram Alternate Site Services Inc's current location address is 12310 World Trade Dr, San Diego, California. You can contact this provider via phone number 8585766969 and fax number 8589746606. The mailing address for Coram Alternate Site Services Inc is 12310 World Trade Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coram Alternate Site Services Inc |
|---|---|
| Address | 12310 World Trade Dr, San Diego, California |
| Phone Number | 8585766969 |
| Fax Number | 8589746606 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lacavich Tricia |
| Telephone Number | 3143063255 |
NPI Number Detail
| NPI Number | 1790734036 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 12310 World Trade Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921283793 |
| Phone Number | 8585766969 |
| Fax Number | 8589746606 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | PHY50273 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 522311 | NCPDP | ||
| PHA409320 | CA | -- | |
| 101225 | CA | MEDICAL DEVICE RETAILER | |
| 800429 | CA | HOME HEALTH AGENCY | |
| PHY50273 | CA | PHARMACY LICES |
Post Comment/ Review Below
What is the Coram Alternate Site Services Inc's 1790734036?
The Coram Alternate Site Services Inc's NPI (National Provider Identifier) Number is 1790734036. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Coram Alternate Site Services Inc is physically located?
The Coram Alternate Site Services Inc is situated at the following address: 12310 World Trade Dr, San Diego, CA 921283793.
What is Coram Alternate Site Services Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Coram Alternate Site Services Inc is Parenteral & Enteral Nutrition, and the corresponding taxonomy classification code for this specialized field is 332Bp3500X.
When was the Coram Alternate Site Services Inc's 1790734036 issued?
The Coram Alternate Site Services Inc's 1790734036 was issued on 2006-05-05.
As of what date were the details related to Coram Alternate Site Services Inc most recently updated or revised?
The information pertaining to Coram Alternate Site Services Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.