Provider Demographics
NPI:1487088183
Name:PULMOCARE RESPIRATORY SERVICES, INC.
Entity type:Organization
Organization Name:PULMOCARE RESPIRATORY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GINGLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-785-6622
Mailing Address - Street 1:760 VIA LATA
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3977
Mailing Address - Country:US
Mailing Address - Phone:888-785-6622
Mailing Address - Fax:
Practice Address - Street 1:6712 PRESTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-5144
Practice Address - Country:US
Practice Address - Phone:925-371-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies