institution
Mark Hicks
Oxygen Equipment & Supplies (DME) in Brea, California
NPI 1295836757

Mark Hicks is a Oxygen Equipment & Supplies (DME) based in Brea, CA and is specialized in Oxygen Equipment & Supplies. Mark Hicks practices in Brea, CA. The NPI Number for Mark Hicks is 1295836757 and holds a License No. 10079550 (California).

The current practice location address for Mark Hicks is 1280 W Lambert Rd, Brea, CA and can be reached out via phone at 562-691-7161 and via fax at 562-691-7162.

Location: 1280 W Lambert Rd, Brea, CA, 92821-2820
institution
Provider Profile Details
NPI Number
1295836757
Provider Name
Mark Hicks
Credential
Provider Entity Type
Organization
Address
1280 W Lambert Rd, Brea, CA, 92821-2820
Phone Number
562-691-7161
Fax Number
562-691-7162
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME01723G 05 CA
institution
Provider Business Practice Location Address Details
Address
1280 W Lambert Rd
City
State
Zip
92821-2820
Phone Number
562-691-7161
Fax Number
562-691-7162
person
Provider Business Mailing Address Details
Address
1280 W Lambert Rd
City
State
Zip
92821-2820
Phone Number
562-691-7161
Fax Number
562-691-7162
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
10079550 (California)
Definition
Definition to come...
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