NPI 1467873646
Watergreen Medical Supply INC
Practice location
- Address
- 2875 Douglas Way, Corona, CA 92882-6066
- Phone
- (714) 651-8059
Authorised official
- Name
- Ron Trejo
- Title
- President
- Phone
- (714) 651-8059
Registered specialties
Inpatient Hospice
Primary
Registry record
- NPI
- 1467873646
- Entity type
- Organization
- NPI issued
- 14 Dec 2013
- Record last updated
- 14 Dec 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.