Mohamed M Elhanafy, RRT-RCP

Individual provider Active NPI Registered Respiratory Therapist · Mentone, CA

NPI 1346590528 · NPPES record last updated Sep 14, 2012

Key facts

NPI
1346590528
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
20294 (CA)
Practice address
31075 Quarry St
Mentone, CA 92359-1516
Phone
(909) 825-7084
Fax
(909) 777-3214
NPI assigned
Sep 14, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 20294 CA Yes

Addresses

Primary practice location

31075 Quarry St
Mentone, CA 92359-1516

Mailing address

31075 Quarry St
Mentone, CA 92359-1516
Phone (909) 825-7084

Other providers in Mentone, CA

All providers in Mentone, CA · Registered Respiratory Therapist in California

Sources for this page

Verify at the official NPI Registry.