Life Linc Habaco, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE LINC HABACO, INC

Practice address

1228 Village Way
Suite N
Santa Ana, CA 92705-4747

Phone

(714) 480-1562

Fax

(714) 480-1566

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Murray Allen Robinson

Title

President

Phone

(800) 521-2106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285675041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 VILLAGE WAY",
            "address_2": "SUITE N",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054747",
            "telephone_number": "714-480-1562",
            "fax_number": "714-480-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 VILLAGE WAY",
            "address_2": "SUITE N",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054747",
            "telephone_number": "714-480-1562",
            "fax_number": "714-480-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINC HABACO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-521-2106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01628F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Alfonso Licon, PA-C
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• Jennifer Marie Lightner-Farrell
• Katrina Ligon
• Lili Mirtorabi, D.D.S., a Professional Corporation

• Durable Medical Equipment & Medical Supplies in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.