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BRILLIANT CARE MEDICAL SUPPLY NPI 1104923382


NPI Information

NPI: 1104923382
Provider Name: BRILLIANT CARE MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1680 VINE ST
220
HOLLYWOOD, CA
ZIP 90028
Phone: (323) 466-0077
Get Directions

BRILLIANT CARE MEDICAL SUPPLY is a durable medical equipment medical supplies in Hollywood, 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. BRILLIANT CARE MEDICAL SUPPLY NPI is 1104923382. The provider is registered as an organization entity type.

The provider's business location address is:

1680 VINE ST
220
HOLLYWOOD, CA
ZIP 90028-804
Phone: (323) 466-0077
Fax: (323) 466-7722

The provider's authorized official is Lookman L King .
The authorized official title is Owner and has the following contact phone number (323) 466-0077.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/3/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies103134CALIFORNIAYes

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: 11/14/2023

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