PROMED DME INC. NPI 1033118609

NPI Information

NPI: 1033118609
Provider Name: PROMED DME, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
10641 CALLE LEE
#185
LOS ALAMITOS, CA
ZIP 90720
Phone: (714) 816-7888
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PROMED DME, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Los Alamitos, CA. PROMED DME, INC. NPI is 1033118609. The provider is registered as an organization entity type.

The provider's business location address is:

10641 CALLE LEE
#185
LOS ALAMITOS, CA
ZIP 90720-567
Phone: (714) 816-7888
Fax: (714) 816-7898

The provider's authorized official is Rich V. King .
The authorized official title is Ceo/pres and has the following contact phone number (714) 816-7888.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 7/16/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	332BX2000X	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3861540001	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	DURABLE MEDICAL EQUIP
2	DME02976F	MEDICAID	CALIFORNIA

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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