Dynamic Health Services - SB

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DYNAMIC HEALTH SERVICES - SB

Doing business as

Dynamic Health Services - SB

Practice address

25051 Redlands Blvd Ste a
Loma Linda, CA 92354-4099

Phone

(626) 405-0449

NPI assigned

Apr 11, 2013

Organization subpart

Yes

Parent organization

DYNAMIC HEALTH SERVICES, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joel Ombao

Title

Ceo

Phone

(626) 405-0449

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Health Services - SB Doing business as

Part of

Dynamic Health Services - SB

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dynamic Health Services, Inc

  • Community Based Hospice Care Agency
  • Pasadena, CA
  • NPI 1891933412
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1083057848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N LAKE AVENUE",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011222",
            "telephone_number": "626-405-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25051 REDLANDS BLVD STE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544099",
            "telephone_number": "626-405-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH SERVICES - SB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC HEALTH SERVICES, INC",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "OMBAO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-405-0449"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Health Services - SB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chidi R. Duru, NP
• Stephen Dwumfour
• Caeley Nhu Dye, PHARMD
• Justin Dye, M.D.
• Robin Ann Dyleski, M.D.
• Aisha Q Ealey, APRN, ACCCNS-N
• Starling Rose Eargle
• Alexander Earle
• Donna Eaton, PT
• Evon Ghatas Ebraham, MD

• Community Based Hospice Care Agency in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.