CORAM ALTERNATE SITE SERVICES INC
12310 World Trade Dr Suite 100
San Diego, CA 92128
858-576-6969
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 251E00000X | Agencies - Home Health - | CA | 0800429 |
N | 251F00000X | Agencies - Home Infusion | CA | 0800429 |
N | 261QI0500X | Ambulatory Health Care Facilities - Clinic/Center | CA | |
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | CA | PHY50273 |
N | 332BP3500X | Suppliers - Durable Medical Equipment & Medical Supplies | CA | PHY50273 |
N | 333600000X | Suppliers - Pharmacy | CA | PHY50273 |
N | 3336C0003X | Suppliers - Pharmacy | CA | PHY50273 |
N | 3336C0004X | Suppliers - Pharmacy | CA | PHY50273 |
N | 3336M0002X | Suppliers - Pharmacy | CA | PHY50273 |
N | 3336S0011X | Suppliers - Pharmacy | CA | PHY50273 |
Y | 3336H0001X | Suppliers - Pharmacy | CA | PHY50273 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 0522311 | OTHER | |
MEDICAL DEVICE RETAILER | 101225 | CA | OTHER |
PHARMACY LICES | PHY50273 | CA | OTHER |
DEA | BC4458368 | OTHER | |
PHA409320 | CA | MEDICAID | |
HOME HEALTH AGENCY | 0800429 | CA | OTHER |