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REBEL DISTRIBUTION CORP NPI 1023029535


NPI Information

NPI: 1023029535
Provider Name: REBEL DISTRIBUTION CORP

Doing Business As: PHYSICIAN PARTNER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3607 OLD CONEJO RD
THOUSAND OAKS, CA
ZIP 91320
Phone: (805) 375-0800
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REBEL DISTRIBUTION CORP is a durable medical equipment medical supplies in Thousand Oaks, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. REBEL DISTRIBUTION CORP NPI is 1023029535. The provider is registered as an organization entity type.
The provider Is Doing Business As Physician Partner.

The provider's business location address is:

3607 OLD CONEJO RD
THOUSAND OAKS, CA
ZIP 91320-123
Phone: (805) 375-0800
Fax: (805) 375-0885

The provider's authorized official is Destry Setser .
The authorized official title is Exec Vp and has the following contact phone number (805) 375-0800.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesWLS3004CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15623029OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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